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  • Thirty-Seven Weeks (and what is Obstetric Cholestasis?!)

    Well yes, I am still pregnant.  And no, I’m not ‘feeling any twinges’.  But thank you for asking, because I didn’t already feel enough like a small white mouse in a glass vivarium.

    Thirty-seven weeks, by NHS standards, is considered overdue.  This is when most women are induced.  I was offered an induction and declined, and as a result am now down for biweekly CTG monitoring to make sure that the goblins are still happy in their rapidly diminishing space.  Thus far, they seem to be just fine and perfectly happy to take their time.  I’m glad that our birth plans have been taken seriously but at thirty-seven weeks today, I’m also acutely aware that I could have been plodding into the hospital with my suitcase right now, in preparation for these children to be evicted.  It’s tempting.

    And it may become necessary.  Blood test results from last week showed that my bile acids were ‘borderline high’, potentially indicative of obstetric cholestasis.  This is a liver disease fairly common in multiple pregnancies, but it can be rather nasty and does come with an associated risk of stillbirth.  Current medical advice recommends delivery at 37 weeks so if the bloods taken yesterday show any worsening in liver function, I suppose that I’ll be having a chat with my consultant about that.  I really don’t want a more medicalised birth than is strictly necessary, but it’s very scary to think that the little ones could be affected.

    As always, I reached out to Twitter.  It turns out that Honest Mum had experienced this condition with her firstborn and had, in fact, directed an incredibly informative film explaining the condition.  And Twinderelmo was kind enough to share a blog post about her own experience of obstetric cholestasis.  I won’t know until Thursday whether I’m directly affected by obstetric cholestasis but I did feel that it was important to be informed about this condition just in case, and thanks to these lovely ladies I now feel much more aware about the symptoms, implications and my options.  And now that I know that one of the main symptoms is persistant itching, I feel that I should probably apologise to the dog for accusing her last week of having fleas!

    Assuming that the womb tenants are still inside on Thursday, I’ll check back in and let you know my blood test results.  Keep your fingers crossed for me!



    1. October 21, 2014 / 6:49 pm

      Hi there, I had obstetric Cholestasis with my little girl. My bile acids were sky high and the itching unbearable. I was induced at 38 weeks and really nervous about the whole thing as I had so wanted to have a natural birth. It didn’t exactly go to plan but it really didn’t matter – I have a wonderful little girl and despite my apprehension about the birth – I barely think about it now. And I know it was the best thing for her as you just don’t know the implications Fortunately, it sounds like you don’t have a severe form – so hopefully you are ok with the itching etc a but if you have to be induced, don’t worry! They have to come out somehow and some way. All the best with it. Good luck! Xx

      • October 23, 2014 / 9:07 pm

        This is such a kind comment – thank you! I’ve just discovered your blog and am loving it, and how sweet is your little girl!! Those curls are divine.

    2. October 21, 2014 / 8:56 pm

      Glad to be of some use. Hope it’s not at the level. Will wait to hear what they say xx

      • October 23, 2014 / 9:07 pm

        Still borderline, I’ll take that! We’ll see what happens next week…

    3. October 21, 2014 / 9:16 pm

      You are looking amazing and well done for sticking to your guns! Hopefully the little womb squatters make their own way out before anything needs to be done! Your bump is looking amazing and beautiful x

      • October 23, 2014 / 9:07 pm

        You are much too kind! Thank you! x

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