Read at your own discretion, this post contains some medical info that will be TMI (too much information!) for some people. Well, our labor/delivery plans are up in the air at the moment.
On Wednesday I noticed a significant improvement in the back & rib pain I'd been experiencing over the last couple months. I'm not sure if the baby officially "dropped," but s/he is much lower now. The good news is, I've hardly had to wear the big, ugly support belts that I'd been wearing 18+ hours per day to help my back & ribs. My appetite returned a bit as well. The bad news is, the baby is apparently putting a lot of extra pressure inside my pelvis. (TMI upcoming, don't say I didn't warn you!)
My labor with Evyn was very fast & very intense. I had a lot of damage afterward, including a tendency to develop hemorrhoids. I've been dealing with an increase of them the last month or so.... but now, with the extra pressure from the baby, one has thrombosed. I'll spare you the gory details, but suffice it to say I am in a lot of pain.
(Don't google it - take my word for it, you don't want to see the pictures that the websites put up indiscriminately!) After a particularly bad day Saturday, Scott placed a phone call to the on-call OB who, after learning the details, told me to head to the ER to have it excised. So, that's where I spent my Valentine's evening!
The ER physician was concerned about the severity of it, and immediately called in a surgeon to excise it. The surgeon, however, wasn't willing to perform the procedure on a 36-week pregnant woman. His primary concern was that causing any bleeding in the region could interfere with healthy blood pressure and potentially interrupt blood flow to the placenta, which could put the baby at risk. Of course, this is all worst-case scenario, but worthy of consideration.
Neither the ER doctor, or the surgeon, were able to answer my questions concerning how a thrombosed hemorrhoid would affect our plan for an non-medicated vaginal birth. I do know, from the research I've done, that a 4th degree prolapsed hemorrhoid (I am borderline) CAN result in c-section birth.... again, worst-case scenario, but with only a few weeks to go before this baby arrives, I have to consider the possibility. The ER doctor asked me to reconsider having an epidural, which, I know would be an easy decision for many people.... but for our own personal reasons, it just wasn't in our plans.
So, I have prescriptions to take, including pain meds, which I'm not entirely comfortable with, but I need to do everything I can to heal quickly. I'm supposed to spend as much time laying down as possible, and not allowed to lift anything (do they know how much work needs done here at home??). I have a follow-up with the surgeon on Monday, and need to call my OB first thing Monday morning to discuss his feelings on proceeding with a non-medicated vaginal birth plan.
Whew, that got long!
It's actually a very common condition, and in the broad scheme of things NOT a big deal. I'm just not good at being a "patient." Taking it easy is a tough pill to swallow, especially when there is so much going on (construction, etc). I'll be able to relax when I know how (if at all) this will affect our birth plan. I'll post an update when I know more!