Carrying twins was a blessing of tremendous proportions, as well as an eight-month war of attrition on my body. Despite reinforcing myself with some of the best defensive strategies of modern medicine and engineering, I delivered prematurely.
I had preeclampsia.
But first, a little about those months leading up to delivery…
In all fairness, my body didn’t want to have twins. At forty-seven, it was biologically certain that the entire procreation thing was over and done with.
As a result, there was quite a lot of gestational gerrymandering involved in order to manipulate my hormonal constituency and ensure a victory.
We began with a preemptive strike of suppositories, injections and oral supplements, then recruited a donor’s eggs, an endocrynologist, an embryologist, and a nurse with steady hands and capable bedside manner. To seal the deal, we utilized a paper cup, a secluded chamber, a dimly lit procedure room and a straw. Okay, maybe it has some fancy, schmancy medical term, but for all intents and purposes, it was a straw. A straw meant to spit a couple of sticky buns into my baby maker. (BTW, if someone is looking to duplicate our successful campaign, it is important to note that there were five days separating the cup & the spit wads & the straw.)
So with these tools, we successfully raided my trench and left two embryos safely ensconced within my uterine walls. Now all that was left was to keep them there for nine more months.
The task was Herculean. Or, in keeping with my militaristic theme, the task was Spartan.
From nearly the get-go my body was pummeled with Braxton Hicks contractions that rocked my belly – as in, my belly was transformed to granite – close to eighty times a day. I took measures to reduce the contractions as best I could. A gallon of water a day helped. A gallon — no lie. I was supposed to drink 128 fluid ounces of water. A day. Twins siphon off your liquid intake pretty much as quickly as you can pour it down your throat. Dehydration was a constant fear – and became a two-time reality. Two times my champion husband drove me to the hospital for IV fluids, a quick Doppler listen, and close monitoring.
Another defensive strategy I employed was a battery of supplements: prenatal vitamins, calcium, folic acid, iron, fish oil and protein shakes. Not only would my little twin tenants deplete all my fluids, they could potentially steal my bone density, my red blood cells and my brain.(I think they successfully absconded with my brain.)
Epsom salts also became part of my nightly arsenal. I spent hours in a bathtub full of them. The salts contain magnesium, and some studies have linked them to a reduced likelihood of preeclampsia. They are also touted as a defense against restless leg syndrome – which plagued me incessantly while pregnant. I guess since I suffered from both RLS and, eventually, preeclampsia, the salts were probably a pointless maneuver. But, I do love a nice, long soak in a tub, so I’m saying, “No harm. No foul.”
Along with all the aforementioned strategies, I spent many a sleepless night sandbagging on pregnancy pillows and couch cushions with ice packs between my breasts. Not on my breasts. Between them. Why, you might rightly wonder? Because the rapidly growing juggernauts in my uterus were putting unconscionable stress on my rib cage. My sternum was ready to snap like a Butterball wishbone at Thanksgiving. Nobody told me about this horrific twin pregnancy phenomenon. I still haven’t heard of anyone else experiencing it. Maybe I’m the only one.
And finally, while pregnant, I suited up in armor designed specifically for safety and comfort. First, there were nylon compression stockings designed to combat swelling and provide support. Mike had to roll and tug and pull and pretty much squeeze me into them every morning. And then do the reverse every night. And he hand washed them. No small feat since they smelled like feet. Swollen, sweaty, pregnancy feet. And then there was my Velcro and cotton maternity belt with an extra-wide back support and straps both above and below my giant, billowing baby bump. That belt could’ve saddled the Trojan Horse it was so big and wide. And indeed I felt like the Trojan Horse, housing tiny warriors in my belly just waiting to spill out and conquer the world. Or at least northwest Georgia.
And finally, our mechanized measures. We bought a blood pressure cuff and took regular readings four to five times a day. We were closely monitoring for any slight increase in diastolic and/or systolic pressure, or both. Despite all our protective measures — along with meds to conquer and control the riotous numbers) — at thirty-four weeks, the nebulous, egregious villainous Preeclampsia invaded, wreaking havoc on my body and my babies.
Three years ago this week, I was forty-seven years old, thirty-four weeks pregnant, forty-three pounds heavier, and two cup sizes larger. My legs were the size of aspens and my ass was the size of Warren Buffet’s assets. I was an amniotic and edema filled cistern of IVF success. I looked like the Stay Puft Marshmallow Man. Or a stack of stratocumulus clouds. I was so fluffy I could die. Literally. And so could my in vitro twin boys. Preeclampsia is no laughing matter.
Three years ago, this week, I was about to experience a barrage of new and scary experiences, including: an ambulance ride, an emergency C-section, two five-pound, six-week-preterm twin boys and an up close and personal relationship with a NICU.
But more on that next week…