Complications
Content trigger warning: Third trimester pregnancy complications / fetal distress.
Yesterday we woke up to our very first morning in our new temporary home. I (safely) met with our architect, tackled my Monday work agenda, and felt flushed with relief over the opportunity to finally settle into a new routine that would allow me more moments with West, and dedicated time to better experience my third trimester.
Above: Photo from my first trimester in Venice.
By evening, I was in an ambulance being transferred from one hospital to another due to pregnancy complications after realizing how drastically my baby’s fetal movements had decreased during the previous, hectic days.
The initial test results weren’t good news, but thankfully they’ve since improved somewhat. The main issues stem from certain fetal growth complications. But I’m relieved that I believed my body when it told me something just wasn’t right, and that I then had the option of seeking medical help.
My family is now navigating our way through waves of vast worry and uncertainty, but we’re doing so with optimism and hope. Adam and I believe that our unborn child is resilient and knows what to do. And we have faith in the numerous professionals who have provided me and the baby with exceptional medical care thus far.
I’m not sharing this because it feels better to do so— it doesn’t. It feels too personal, and too terrifying to type out these words with sleepless eyes and shaky hands from a hospital bed. And it causes my family to further sink into some of the potential, unthinkable outcomes that have been outlined for us in stark terms. Instead, I’m sharing this to acknowledge the immense privilege I’m experiencing, even in the midst of gut-wrenching panic.
Meaningful and tangible support is not provided for all pregnant women when it’s needed most. Systemic and interpersonal racism in America have lead to disparities in maternity care that result in a higher risk of complications and death for Black women and women of color. We are not powerless to help rectify this issue. Our voices matter, independently and collectively, so let’s get + stay vocal about the fact that equitable care must be accessible for all. Our elected officials are meant to represent us, so let’s champion those who support anti-racist policies that are geared towards a safer existence for women and children of color from conception through all stages of life.
Become familiar with your reps — I need to get to know ours now that we’ve just moved, and visit Every Mother Counts for more information and ways to take action.
... And if you have a moment, please hurl a powerful, positive thought skyward for our little one. I certainly feel this community’s love and strength, so maybe that means my baby will, too.
Update: I’ve never felt more buttressed by community than I did this week. I cannot thank you enough for your support, which the baby must have felt as well. We were able to leave the hospital, and we did so as one - outcomes that initially seemed unlikely. From the depths of my heart, thank you.
Pregnancy After Trying to Conceive for Nearly 2 Years
Content alert: This post contains frank and personal stories concerning the process of trying to conceive and stay pregnant. (Related post: My Fertility Journey)
When I was pregnant with West (who is now 4 years old), I couldn’t wait to share the news with our friends, family and online community. This time around has been quite different— just like the pregnancy itself.
I tried to conceive for nearly two years. I’m sure that there were a few months along the way during which Adam and I missed my ovulation window, but there were also months when we saw signs of early pregnancies that didn’t last. I had negative and positive pregnancy tests. I experienced a few instances of bleeding that nurses and I suspected were implantation bleeding (which I had with West). There were months with no periods, months with weeks-long bleeding, and the corresponding hormonal & physical fluctuations.
I had normal FSH levels / test results for my age, and my incredible doctor informed me that there was no discernible reason that I couldn’t conceive. I had anxiety of course— who hasn’t this year? I was 38… then I turned 39… and the months kept rolling by.
During this time, many women kindly reached out to me with stories of what worked for them when they were trying to conceive. Some individuals encouraged me to change my diet (we’re vegetarians), others suggested particular vitamins, and some recommended hormone creams. I appreciated the intention and time behind each and every message. But I made the personal decision to simply listen to my body and let it guide the way.
Eventually, I felt like perhaps I should interpret my body’s signals as a sign for me to fully accept second infertility.
Above: Details from the Cottage nursery in 2016, photographed by Kat Borchart.
I stopped wearing my ovulation tracking bracelet. I enjoyed learning from the insights it provided, and am glad I used it as long as I did. But eventually the act of putting on / taking off the bracelet began to feel hopeless, so I thanked it for what it taught me— particularly about my sleep habits — and tucked the bracelet away in my dopp kit.
In August, we decided to take a quiet, very COVID-cautious, week-long road trip to visit my sister’s family in Boise. We packed up our little old Honda Fit, buckled in West and the pups, and drove 800+ miles in the blazing sun in order to get out of our bubble for the first time since February. (I didn’t mention the trip on Instagram. I wanted it to be all about family— not work. And I didn’t want to contribute to normalizing travel during the pandemic.)
We believe it was on this trip that I got pregnant with the new life that’s now inside of me.
I hadn’t stopped eating a vegetarian diet, nor did I add any supplements to my routine (beyond continuing my prenatals). I didn’t take any hormones either. I experienced no implantation bleeding this time. Instead, my first signs were the common symptoms felt around week 6, such as fatigue, tenderness, nausea.
Above: The Cottage closet nursery in 2016.
Weirdly enough, it was a random symptom — congestion — that nudged me out of bed at 1 o’clock at night while my family slept, and prompted me to go buy a pregnancy test at a 24-hour pharmacy. While I was at the store, I made an atypical purchase; a tiny toy construction set for West. I had a feeling that Adam and I would be distracted by the test results in the morning, and I didn’t want our then-3 year old, who’d fallen asleep between us in the “family bed” that night, feeling overlooked.
The moment I returned home, I took the test.
When the “YES +” appeared, I felt a wave of enormous joy. Then, moments later, I experienced a crash of fears. I decided to sit in those feelings by myself until Adam awoke 5 hours later.
When West began to stir, I decided to activate the camera on my phone and let it run, thinking it might be delightful to catch Adam’s reaction to the test. More than twenty minutes passed, and by then I forgot that the camera was running. When Adam opened his eyes, I handed the test to West and asked him if he wouldn’t mind passing it along to his father. When Adam realized what he was looking it, his eyes went wide and his mouth dropped open in disbelief. (It had been about a year since we’d last seen a positive test.) Despite the worry pressing in on me, I couldn’t help but laugh. And, since I’d forgotten about the camera, I promptly sat up right in front of it.
Turns out that the miniature construction set was a good call. West was thrilled with that surprise, as Adam and I were thrilled with the other.
I’m now well into my second trimester— a welcome relief after the first, which was unforgiving. Not only is my pregnancy labeled as a Geriatric (as it was with West), but it’s also now labeled as Elderly Multigravida.
So far, all medical tests indicate that the baby is healthy and on track. But every time I feel round ligament pain, I desperately hope that’s all it is. Every time I use the restroom, I hold my breath and check for signs of disruption. Every time an unpleasant pregnancy symptom vanishes, relief is accompanied by a parallel panic.
To the women out there who are trying to conceive and/or who have suffered loss - I am holding you with me tightly, every day.
*A note on privilege: During my pregnancy and birth with West and now, I’ve have the privilege of safe and respectful maternity care. Access, along with the opportunity and space be heard in order to best achieve a healthy outcome for mother and child is by no means a given for every woman in America.
The Centers for Disease Control and Prevention reported that “Black mothers in the U.S. die at three to four times the rate of white mothers, one of the widest of all racial disparities in women's health.” (NPR)
According to Every Mother Counts: “Chronic stress and systemic and interpersonal racism contribute to a higher risk of complications and death for women of color. The number of women who die giving birth in America each year has nearly doubled in the last two decades, and over half of all maternal deaths in the U.S. can be prevented.“
My journey will always include working towards dismantling the systemic racism that robs Black women and women of color from potentially having the same wonderful experience with their baby/babies as I had with West.