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I normally write my "Life at the Patch" posts on a Monday but tomorrow could be an interesting day for us so I decided to write this week's today instead.

As you all know by now, I'm sure, I have found pregnancy extremely challenging. Between Hyperemesis Gravidarum, Pelvic GIrdle Pain and Anaemia, I've been feeling pretty rough. But the past few weeks have been particularly demanding. 

So when I saw the midwife last Thursday I was having a good old moan about it all and happened to mention that the itching on my hands (which until recently had always been the backs of the hands only) had progressed to the palms of my hands. To be honest when I think back I realise this itching has been getting increasingly worse for several weeks but I had just put it down to eczema, despite occasionally wondering why it wasn't really accompanied by the usual blisters I get with eczema. 

This, of course, made the midwife decide we needed to do a blood test to check my liver function and to rule out Obstestric Cholestasis. The phonecall I received on Friday informed me that the intial results showed no obvious signs of a problem, but I would hear more on Monday. So I was advised to watch the itching and baby's movements and any change in either meant I had to call someone.

As I was expecting to hear more tomorrow, I was a little surprised to get a call on my mobile from one of the midwives on duty yesterday to inform me that the further results had come through and the levels of bile salts in my blood are raised. Meaning I now have to see a consultant tomorrow. 

From what I have been told and what I have read, it seems pretty standard procedure to induce labour around 37 to 38 weeks when Obstetric Cholestasis is a factor, and as today marks the beginning of week 38 for me, we are pretty much preparing ourselves to be told tomorrow that this is the plan of action. Which means that Tim has asked me to ensure that my hospital bag is ready to be taken to the car so that we are ready to go without any last minute fuss. 

Of course we know it's not going to be a mad rush, but we are thinking that the more we prepare now the better it will be, especially as we do not know whether we can get in to see a consultant here or have to travel to Lincoln hospital, in which case it would make sense to take my hospital bag over and potentially camp in my parents' spare room rather than travelling backwards and forwards. And anyway, we had only just been discussing the fact that it might make sense to have the bag in the car ready before we even knew we'd be seeing someone tomorrow. So it's just one of those times when we are trying to be organised now so that we aren't stressing over whether we've forgotten something if I go into labour or we have to head over for an induction. 

I won't know until tomorrow morning when or where our appointment will be, nor whether the consultant's advice is to induce or wait and see, but I'm pretty sure I'm going to be pre-occupied whatever happens this next week or two, so just wanted to give everyone a "heads up" that we're still here, we're still ok, but I might not be online as much as usual for a little bit. I promise though to get online as soon as I can once baby is born to let you all know the good news, even if in a one-line, straight-to-the-point-as-I'm-too-busy-bonding-with-my-baby-to-want-to-write-a-proper-blog-post-thank-you-very-much kind of way!! 

Have a wonderful week everyone xx

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3 thoughts on “Life at the Patch – 38 weeks”

  1. Amanda,
    I’m glad you have your bag ready and that you’ll have it with you. Best of luck tomorrow at the appointment! I look forward to hearing how things go. 🙂
    Jeanne

  2. All the best Amanda, I really hope everything goes well – hopefully before you know it you will have your adorable little bundle in your arms (and what a lucky little boy he is to have such lovely parents). xx

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