Hello Darkness, My Old Friend

Let me start out by saying that baby is fine.

But we had a scare. And I have anxiety. Not a good combo.

I’ve talked on here before about my tendency to fret and worry, mostly in a jokey way, but I’m not sure if I’ve ever come right out and said that I have legit clinically diagnosed anxiety. It’s a disease just like infertility. And also like infertility, it’s not really something that’s readily understood or discussed in society. You can’t make it go away by positive thinking or relaxing. You can’t shut it off. You can do cognitive behavioral therapy, traditional talk therapy or SSRI meds, and all of those things help (although I personally haven’t tried meds), but they’re not a cure. I am currently in therapy. My therapist is good, but I only see her once a week. That leaves six other days for my mind to spin into circles.

Overall I’ve kept my anxiety fairly in check this pregnancy. I for sure had some very anxious bouts. The first trimester in particular was super scary, as was Christmastime. I’ve been keeping it together, though…for the most part.

But now? Sh*t has gone off the rails. Ever since I entered the third trimester, my anxiety has been building. My antiphospholipid antibody syndrome puts the baby at higher risk for stillbirth, so naturally I’ve been obsessing about stillbirth. Is this a productive or beneficial thing to do? Nope. Rationally, I totally know this, but anxiety doesn’t play nice with rationality. It actually beats the crap out of rationality on a regular basis.

Things kind of reached a peak over the last few days. On Tuesday evening I noticed that baby wasn’t moving as much as she normally does, so I did a kick count. A kick count is where you count the baby’s movements—you’re supposed to count 10 movements in two hours. She did her required ten movements in a pretty short span of time, so I stopped worrying.

Then later that night I woke up around 3:45 am. Baby usually wakes up every time I wake up in the night, without fail. The kid likes to party all night long already. But she didn’t wake up this time. I gave her about 20 minutes to start moving and shaking. Nothing. I ate a banana and waited. Nothing. I drank some orange juice. By this time I was wide awake, but baby wasn’t. She did eventually bust out ten movements after the OJ, but it took her the full two hours. Usually it takes her, like, five minutes. I got out of bed and was about to go into Labor & Delivery to get her checked out when Tim suggested I try drinking a Coke as a last ditch effort. I drank a Coke and it worked. She did ten kicks in about two minutes. I was semi freaked out, but figured baby was fine.

That brings us to this morning and my appointment with maternal fetal medicine. I have weekly non-stress tests now, and from 36 weeks on I’ll have them twice a week. A non-stress test is basically where you chill in a lounge chair and a nurse hooks the baby up to monitors. They are looking for baby’s heart rate to accelerate three times in 20 minutes. If that happens, they are assured that all is well. I was figuring the non-stress test would be a breeze like it was the previous week, and that it would provide me with some reassurance.

Only, the baby didn’t pass the test. The nurse told me that the baby did have some accelerations, but they weren’t fast enough. She then sent me for a biophysical profile. This is an ultrasound where they look for three things within 30 minutes:

1. Baby needs to be seen practice breathing for at least 30 seconds
2. Amniotic fluid levels must be adequate.
3. Baby has to move her core back and forth three times, and she also has to show muscle tone, which means things like opening and closing her hand or flexing her leg.

She aced the practice breathing. She also had good amniotic fluid levels. But she wasn’t moving. It took that little runt almost the full 30 minutes to do her required movements. She did pass the test, but only in the nick of time. The nurse assured me that she was fine. She said she was the most conservative nurse there, and that she always errs on the cautious side, but even she felt confident baby girl was good.

So baby is ok. But I am not. I really am not.

I’m 33 weeks today, and my OB has already talked about inducing me around 39 weeks (common practice with antiphospholipid antibody syndrome), so there is an end in site. But I don’t know how I’m going to make it through the next six weeks. I’m not trying to be dramatic by saying that—I really feel like I’m losing it a little. I feel completely overwhelmed with fear and anxiety. I’ve talked to my OB about these feelings. She doesn’t want me to take any anxiety medications because I’m already on so many other meds this pregnancy. She suggested therapy, which I am already doing. Basically the only course of action is to wait it out. I want this baby to be safe and healthy in my arms so badly, but right now that seems so far away.