Thursday, January 6, 2011

Cholestasis...huh?



I don't really know where to start. Our world in the last 7 months has drastically changed. One of those changes includes our sweet baby that is growing in my stomach.
With The pregnancy alone I have had many physical battles, that have left me housebound for days at a time. Broken foot, bad cold, pre-term labor scare... But the most recent development is possibly causing Seth and I to step outside our comfort zone into what is, for us, unknown.
On Friday morning I woke with a slight cold that developed into an all out cold with fever and other symptoms. On Monday evening I started becoming very itchy. At first I thought it was normal pregnancy and dismissed it. Then the itching started to progress. Since Friday I had a hard time sleeping at night, but dismissed it because of the cold. By Tuesday I was feeling better but then Tuesday night I slept only 2 hours because the itching became so overwhelming I couldn't sleep through it. I called my midwife and we started monitoring it. Wednesday night I only slept 20 min. My feet felt like they were burning and my whole body itched. After trying topical creams and other meds we realized that all my symptoms lead to a condition called Cholestasis of Pregnancy.
Cholestasis is a condition that affects your liver. The normal flow of bile in the gallbladder is affected by the high amounts of pregnancy hormones. Pregnancy hormones affect gallbladder function, resulting in slowing or stopping the flow of bile. The gallbladder holds bile that is produced in the liver, which is necessary in the breakdown of fats in digestion. When the bile flow is stopped or slowed down, this causes a build up of bile acids in the liver which can spill into the bloodstream.
The spill out can also be referred to as bile salt. Your body then tries to get rid of this by seeping it out through the skin causing extreme irritation and itching. (I think I have this all right) This being the case, anything topical will not work or your normal antihistamines. Because the itch is actually under the skin not on the surface. It is coming from inside. So if you do scratch it only multiplies the pain and itching. So my first question was, How is this going to effect my sweet little baby? Cholestasis may increase the risks for fetal distress, preterm birth, or stillbirth. A developing baby relies on the mother’s liver to remove bile acids from the blood; therefore, the elevated levels of maternal bile cause stress on the baby’s liver.
Tomorrow morning I am going to Eugene to see a specialist to get testing done. My midwife along with the specialist are pretty sure that I have this. All my symptoms point in the direction of this condition. The test will take around a week to get results back, however because of my lack in sleep and inability to function properly I am starting the medication tomorrow. If the medication works then it would seem very obvious that I have this condition. If the test comes back positive, it means major changes in my birth plan. From now up until birth (about 4-5 weeks) I would have to go to Eugene twice a week for ultra sound checks on baby. I would have to have a hospital birth, and I would have to be induced at around 35 weeks. For most of you who know Seth and I this would normally be something that would shake us up. But Seth and I both have a significant amount of peace surrounding this. The most important part of this whole thing is that our sweet little bay is safe and healthy! If this is the case my midwife will continue to play a significant role in my prenatal and postpartum care, as well as being present at my birth.

I know this is a lot to take in, and a lot to be praying for! Please join us in praying for safety and Papa's guidance. We have comfort in our Father and peace with our situation. Also pray for Elina to have a peace as well. She can feel the emotions of those around her very easily and is greatly affected by it. She is an amazing little chica. Thanks.

2 comments:

cmb said...

Praying for you and your family Evie!!! Tomorrow at ten, right? I love you!!! Trusting and believing with you for your healing and protection of your sweet baby,in Jesus' name!!! <3

Amy Shore said...

I love you sweet sister. praying for you and my sweet baby neice.