Well, we've now had a nice dry-run at the hospital -- although everything is totally fine, I had to go to the Labor & Delivery ward on Monday to double-check that I wasn't getting an unhealthy number of fake contractions, and they gave me the full treatment: wheelchair, bed, gown, fetal heart monitors, more wheelchairing, and even little cartons of orange juice with bendy straws.
About two weeks ago we had our hospital tour, so we'd seen the LDR floor and the recovery floor, and been walked through emergency parking procedures and even pre-registered me for the big day so that check-in ought to be quicker. It's a nice new ward at St. Sorry We Killed You John Ritter, although it's nowhere near as swish as the hospital in Santa Monica where my friend Erin delivered her son. They had plasma screens. We do not. But I am not wired to be able to cope with the spectre of traffic delays on the 405 while possibly in labor and/or going to get checked out every week because I'm having twins, so Kevin and I agreed to sacrifice the flat-screen TV for a regular Zenith and a shorter trip. It's all about what level of stress your brain can take, and I do NOT want to end up pushing out twins inside our nice new car while rush-hour traffic rages around me. Of course, talk to me in three months or so when I'm laid up in a bed in Burbank and I can't watch my telenovelas in high-def. I swear, on Monday I saw an ad for one whose title translates to Stupid People Don't Go To Heaven.
Here's what happened (to me, not on Stupid People, although some may argue we are one and the same): After lamaze last Thursday, when I'd gotten a pretty thorough explanation of what Braxton Hicks contractions feel like, I realized I'd experienced them sporadically before. They're not dangerous contractions on their own; they're the famous ones of movies and TV that get written off as "false labor" and which actors play as if they hurt as badly as the real thing. From what I've heard, that's not true. It's also apparently not abnormal for pregnant women to get them at 24 weeks, or even as early as 20 (I'm at 23 right now), and adding to the pile is that the uterus HAS TO contract in order to stretch and accommodate the growing baby/babies. So there's all kinds of shit happening that you need to learn to differentiate, but the peril with Braxton Hicks is, I believe, that it can trick your cervix into dilating as if you are TRULY in labor, and that's not good.
It's basically a weird shifting sensation in your belly, which I had always written off as the beans floating around or flipping over, but which is apparently a wave of stiffness coming over the ol' uterus. It's followed by a hardening of it that's tangible, and then it abates as it came, almost like a sound wave's crest-and-trough cycle. They say if you have four or five in an hour, it's too many. Well, Sunday night, I had six of them in 15 minutes while lying on my side in bed, trying to fall asleep. Awesome.
Let me pause here to note that no pregnancy book is helpful when it comes to describing sensations or symptoms -- in fact, as I just said to a friend of mine, I could rip out every segment on "How To Know If You're In Pre-Term Labor" and replace it with a page that says, "Are you feeling even a LITTLE pregnant? Then you're probably in pre-term labor RIGHT NOW OH MY GOD CLOSE YOUR LEGS AND PRAY," and it would have the exact same informational value. I think a sign that I might have twin-to-twin transfusion syndrome (TTTS, which is when beans sharing one placenta don't share the nutrients from it equally) was described as "feeling that your belly is full and heavy." Um, I have that every day, and it's called There's Two Babies In Here, asshats. Not helpful. Not to mention that "cramping" is considered a sign of every dire malady in the book, except that you're also supposed to feel cramping because it means your stomach and uterus are expanding. So there's cramping, and there's cramping, and no one explains the difference. Pregnancy is basically like when you go on Web MD to figure out why you're tired with headaches, and it helpfully suggests you are dying of cancer.
Even with Braxton Hicks, as my friend Stephanie was groaning, they can be sparked by lying down... but they tell you to lie down when you get them. And they can be caused by dehydration, but also by a full bladder. With mine, the left side of my stomach gets hard and then almost forms what looks like a knotty tumor, sticking out further than the contours of the right side of The Belly. Because I'm having twins, it's sometimes hard to tell what's just the babies running out of room in there and what's a Braxton Hicks, but the sensation is the key, and on Sunday I was definitely having that. After I had two more Monday morning, one of which Kevin got to witness so he could help me describe at least the external sensory stuff, I called the doctor and described it all to one of his nurses. They decided to ship me down to the hospital to hook me up to a monitor and have a perinatologist check me out. My doctor had already called Admissions and prepped them for me, so when I arrived they whipped up all my paperwork and got me an ID bracelet, and insisted upon wheeling me to my destination; once there, I gowned up and got into bed, and a really lovely nurse came in to strap the monitors to my stomach and try to get some consistent fetal heart readings.
You can probably imagine, based on past ultrasound stories of mine, how easy THAT was. These little dudes are movers and punchers. They were whizzing around so much, she couldn't isolate them to get a nice long printout of the heartbeats. The monitors pick up the sound of movement and translate it into something almost like a loud roaring -- seriously, it's as if I'm having wolves -- and the whole room was filled with it most of the time until she could zero in on a heartbeat, which she'd be able to hold for 10 seconds before the boy in question zipped off again somewhere else. Luckily, we did for sure HEAR both of them, even if they didn't want us to hear them for long. Next up was a trip down to the perinatologist, who confirmed that -- and I quote -- my cervix "looks fantastic." There is nothing like hearing someone say that, and realizing it brightened your day, to make it hit home that you are a really boring adult all of a sudden.
So we went back upstairs and got me back on the monitors for a bit -- a second nurse needed about 15 seconds before asking if I minded if she sat on my bed with me while she tried to get the heartbeats; I was like, "Yes, this is going to take a while" -- until my doctor said it was OK for me to go home as long as I took it easy. I think if I worked outside my house, this would have been a bigger deal -- they'd most likely have asked me to stay home and probably taken me off work earlier than the proposed 28 weeks. But since my entire existence is not that far removed from bedrest anyway, I'm fine as long as I don't sit in my chair without moving for 8 hours. It's kind of nice to have a medical excuse to get up in the middle of the day, go lie down, and watch Greek.
While it was a TAD earlier than I thought I'd be experiencing the hospital first-hand, it's comforting to know the rooms feel clean and bright when you are lying in one, or at least this one was, and that all the nurses we dealt with were super friendly and helpful and personable. The Braxton Hicks aren't even a disaster -- I was flummoxed as to why six in 15 minutes weren't a bad sign when four in an hour are, but apparently the key is whether they're sustained over a period of time rather than a short burst of them and then nothing. I guess. Chalk it up to another mystery of pregnancy that no one can fully explain. Even the nurses can't totally confirm that I had them, since none showed up while I was in the hospital (and I didn't think to replicate my at-home conditions by rolling onto my side to try and trigger one, because I had no fewer than three fetal monitors strapped to my chest and it would have been a dick move to displace them after all the nurses' hard work trying to get the beans to hang out underneath them), but I am positive that I did.
Let's call it a growing pain of pregnancy, shall we? Because otherwise I feel just fine and I'm hell-bent on keeping these beans gestating for as long as I possibly can. They're not done yet, and fortunately, my "fantastic" long and closed cervix concurs for the moment, so I'm figuring this will be an educational experience that can inform the rest of my pregnancy rather than freak me out about it.
Of course, see if I feel the same way in a week if they come back strong. But for now, being philosophical is not so tough.