I am posting all of this to explain where I've been for the past week and to get it all out. I apologize in advance for the fact that it'll proabably be REALLY long...
Monday - It was Labor Day, and we had been joking for a while that the minis better not get any ideas. Well, apparently they thought it would be really funny to start scaring Mommy that day. Things were going really well right up to naptime for Beanie. I was tired too, so I decided to lay down on the couch and catch some z's while she was out. DH decided it would be a good time to run some errands and take some time washing his car (which he enjoys immensely for some reason). Fast forward 2 hours; Beanie wakes up. I roll over to get up, and I am immediately met with a sharp pain at the bottom of by belly. I freak out, and call DH (who was thankfully in the garage) to ask him to go get her, and I promptly try everything I can think of to make it better - laying on my left side, water, breathing deeply, streching, etc. Eventually, it stops and I figure everything is ok now. Nope! I start feeling crampy on and off, and the lower backaches start. I'm able to keep that to a dull pain for the rest of the day by taking it easy, but I make a note to talk to my dr first thing in the morning. They had warned me that carrying twins meant I'd have contractions early, so I was pretty much writing it off to that.
Tuesday - I got up and took Beanie to school. I was still pretty crampy, but it wasn't keeping me from functioning, so I just kinda sucked it up. My OB's office opened at 9, just after I dropped off Beanie, so I called them from the school parking lot to ask if I should come in or just wait until my scheduled appt/bio-physical profile/non-stress test the next day. After talking to the dr, they told me to come in immediately just to be safe. I got there around 9:30, and they took me back at 10:15ish. They check the heartrates for both girls, and things look really good. Then the doctor comes in to talk about my symptoms. He decided to do an internal exam (fun) to see how my cervix is doing. He said it was closed, but it was also very soft. Based on this, he decided to put me on the monitor to see how my contractions looked and to have the sonographer check the actual length of my cervix. It was at 3.6 cm, which is much longer than the average twin mom, so he was quite happy with that measurement. The contraction monitor was not quite so encouraging. I had 4 contractions in the 45 minutes I was monitored. Apparently, I was one away from being hospitalized for 24 hours! So, he gave me a prescription for some iron (I'm very slightly anemic) and another for Procardia (to stop the contractions). He warned me that the side effects of the Procardia were pretty yucky for the first 24-48 hours (headaches, dizziness, nausea) because it dramatically lowers your blood pressure, but told me it was my only choice other than heading to the hospital and taking a mag sulfate shot that would make me feel even worse, so I decided to comply :-) He also told me I was on strict bedrest for the rest of the day so that we could try to stop the contractions from chaning my cervix even further, and I was still expected to come back for my long appt on Wed.
Wednesday - He wasn't kidding about the side effects! I was feeling like total butt, and I wasn't able to sleep very well that night. Dropped Beanie off again, and headed to the OB. They took me back around 10:20 for my BPP/NST. Things looked really good on the u/s as far as the minis' movements. Both of them were really active. They were practice breathing :-) and had even turned head down! My cervix had shortened from all the contractions, however. At this point, it was down to 2.6cm under pressure. While that is still above average for a twin mommy at 29 weeks (average is 2.5), it is much shorter than it had been, so they were still concerned. She also noticed that she was having trouble picking up the diastolic flow from the babies' cords. They told me it was probably just a technical problem as their machine is not really good for taking cord pulse measurements, but they wanted to have it checked out by the specialist to be sure. The NST followed, and everything was great there. The girls heartrates were fluxuating appropriately, and the medicine had knocked out the contractions :-) The doctor told me that he wanted me on modified bedrest for the rest of the pregnancy (no more work, and no running around other than taking Beanie to and from school) just to be safe. However, he felt that the contractions stopping would me my cervix would be fine.
So, off I headed to the perinatologist to have the cord dopplers evaluated. The receptionist there was snotty about me being added on to an already full schedule, but she realized there wasn't much we could do about it. They managed to take me back around 1:45. The sonographer and the doctor were wonderful about explaining everything they saw. The girls looked really good and were still really active. They got pretty much the same cervix measurements as the OB, and they were able to get several measurements of the diastolic flow in the cords. Apparently, it wasn't a problem with the machine at my OB's office. While it wasn't non-existant as the OB sonographer feared, it was lower than it should be. Apparently, there's a lot of resistance in both babies' cords now. According to my peri, this is the reason I had the bad bloodwork months ago (low PAPP-A). Apparently, I am now on my way to placental failure. He got my OB on the phone, and they worked out a plan. I would be seen by the OB every Monday and by the Perinatologist every Thursday. As soon as things get worse, I'll be hospitalized, and the babies will be delivered between 32 and 34 weeks as this is probably the longest my placentas can last. He also wrote a prescription for me to pick up a multidose vial of the steroid injection to hasten maturity of the minis' lungs. He stressed that I had to get both shots (24 hours apart) by Friday. So, I started calling around and the only place that had it in stock was the hospital pharmacy (who wouldn't dispense it to me without talking to my OB's office directly first - and the OB was closed for the day). So, I left a message and prayed. I really sucked at bedrest, modified or not, today!
Thursday - I got a call from my OB right as I was dropping Beanie off at school. They had talked to the hospital pharmacy, and I needed to head over there immediately to pick up the meds and bring them back to the office. I did just that, and got back to the OB around 10:30. They injected me (and it stung a ton), and I talked briefly to the doctor. They are really afraid I'll be hospitalized next week, that's why I had to take the shots so quickly. I'm really scared now. I'm going back tomorrow morning for my second steroid shot, and then I'm headed to LabCorp for my 3hr glucose test (as if I needed one more baby issue on my plate!) Honestly, if I fail I think I'm just going to ask to be hospitalized early. They are saying that they aren't going to give me a chance to control it with diet first b/c of all the other issues, so I'll be going straight to diet/insulin, and I don't think I can juggle one more thing on my list of daily worries.
I really don't know what to make of this anymore (which probably explains why I'm up writing at 1:30 am rather than sleeping). Until now, all of the doctors have been amazed at how well I was doing. The girls were growing amazingly well (51% for one and 58% for the other at my 28 week growth check!), I had a long cervix (4+ cm) that was showing no signs of changing, and everything looked perfect. We were talking about delivering at 38 weeks, maybe even giving me a couple more days to "do it on my own" just one week ago! Now, things have totally flipped, twice. We were worried about contractions on Tuesday, now everyone is saying it's not even an issue. They are confident that, now that they have the contractions chilling, my cervix will outlast the placentas by multiple weeks. This placenta thing is huge. I know it's not my fault. Both the OB and Peri told me that there was nothing I could have done to prevent the placental failure, and there's nothing I can do now to make it better or worse. Yet, I still feel guilty, like I'm letting them down. I feel like I'm letting Beanie and DH down too. They need me, and I'm about to check out in favor of a hospital bed. This is really hard :(