http://jewelsamples.blogspot.com/2008/1 0/light-candle-on-pregnancy-and-infant.h tml.
Somewhat fitting I suppose that I actually posted a real update.
It's been four months since Lewis died. I've received the postmortem results, but they still havent sent them in paper format yet, so a lot of this is from memory - I might post more when I know it.
It turns out that he suffered the same as I did. It wasn't the Pemphigoid Gestationis (PG) (http://www.bad.org.uk/public/leaflets/p emp_gest.asp) itself that caused his death, but rather the immune system failure that caused them both... if that makes sense.
Basically, something (possibly new medication, or a skin trauma - which I'm placing on the burn I got at Slindon when I was cooking) triggered the autoantibodies in my rhesus negative blood, and that attacked the lower membranes in my skin - causing a rash, and small blisters.
It started at week 20, and by week 25 I was hospitalised. I was first diagnosed with insect bites, and then chicken pox - both of which were ruled out when the doctors referred me to a dermatologist because of the psoriasis gene that's in my family.
I had one biopsy, and the hospital said that I had polymorphic eruption of pregancy (PEP).. but it still wasn't right, so they did another biopsy (http://www.kcl.ac.uk/depsta/medicine/d ermatology/immuno.html) while I was in hospital, and found PG.
I took topical steroid creams until the rash had mostly subsided, and then was allowed home, but had to keep going back to the dermatologist.
Of course, they couldn't do much, because PG isn't very well known or researched - the patients are far too spread out to do a collective study. But, at 30 weeks I was offered oral steroids. To this day not even the doctors can determine whether the outcome would have been the same had I started on them.
But I regret that. I never regret anything... but I totally regret this. Even if the outcome would have been the same, at least he'd have had a chance, you know? I kept having flare ups, which faded, and then came back.. but the heartbeat was still going strong, and I really was looking forward to seeing my child.
At 34 +2 weeks I had the heart scan.. all was well.
At exactly 35 weeks on the 15th June I went into labour. And that was when everything changed for me. I'm not going into the labour, I guess that was pretty straightforward - although it hurt like hell, and I'm not so sure I want to do that again.
Learning that your own body rejected a child is far more painful I think.
The consultant I saw explained that while it is highly likely I'll get PG again, and another child might be on the small side (which doesn't matter so much since no child in our family has been over 7 pounds), there's only a 1-2% of another stillbirth.
In itself, that's good news - from what I read, that's the same statistic for all pregnancies. Plus, I'll be checked far more often, and I'll recognise the signs earlier so it can be dealt with.
The bad news. however... is that I'm scared. Completely scared of making some mistake. Because I know that it was my blood, and my immune system that caused this - I'm beginning to have irrational thoughts such as - what if it was that one drink I had, or what if I didn't do the cooking, or what if I did too much exercise.. etc.
What if I do the same things again in any subsequent pregnancy and have to deal with this all over. I know it's irrational, and I'm doing everything I can to keep my mind off those thoughts, but they're there.
I can't get pregnant again until I've finished with the course of steroids, so that'll not be until after Christmas I don't think..
But I know now that I really want a child. And it's not to replace Lewis, nothing can do that, but I'm ready to be a mother; I'm ready to give my love and my all to a child of my creation.
I've often wondered that this was meant to happen anyway - to make me see that I am a good mother, and I do have that nurturing instinct in me. It hurts to think that, but it eases some of the pain I've been feeling.
Another thing I was thinking of, was that my mother had a miscarriage between my brother and me, and so did her mother, and my mother's grandmother on her father's side had 6 stillbirths before having my grandfather. I wondered if the autoimmune disorder was hereditary, since my mother and her dad both have rhesus negative blood. There's a leading consultant called Martin Black from London who's written quite a few medical publications on this, and out of curiosity I thought about writing him a letter explaining this. Not that anything could really be done, but it might be something to look into at least.
Anyways.. I've got a lot to think about, but after I've healed enough. And I'm not just talking about my skin.. I'm also talking about my mind.
My friends have been fantastic. I only wish I had enough words to express my gratitude and love for them for being there when I needed them. It's been difficult for me to accept help, or to take things that are offered to me - I've always been the strong one, slogging through the pain I suffer on my own so I don't burden people. And this time I've had to be stripped of the pride I had, and realise that I'm not being strong, but locking myself away and hurting inside until it builds up.
I also found someone unexpected to share this with, and that helps a great deal, especially as it's the last thing people would think of. So I'm healing, slowly. Taking each day as it comes, and learning to accept 'bad' emotions as ones that I have to deal with instead of being cold and distant with everything. I think it's working.
Well.. there's the update. I'm getting there.
I love you, and thank you from the whole of my heart and soul.
Somewhat fitting I suppose that I actually posted a real update.
It's been four months since Lewis died. I've received the postmortem results, but they still havent sent them in paper format yet, so a lot of this is from memory - I might post more when I know it.
It turns out that he suffered the same as I did. It wasn't the Pemphigoid Gestationis (PG) (http://www.bad.org.uk/public/leaflets/p
Basically, something (possibly new medication, or a skin trauma - which I'm placing on the burn I got at Slindon when I was cooking) triggered the autoantibodies in my rhesus negative blood, and that attacked the lower membranes in my skin - causing a rash, and small blisters.
It started at week 20, and by week 25 I was hospitalised. I was first diagnosed with insect bites, and then chicken pox - both of which were ruled out when the doctors referred me to a dermatologist because of the psoriasis gene that's in my family.
I had one biopsy, and the hospital said that I had polymorphic eruption of pregancy (PEP).. but it still wasn't right, so they did another biopsy (http://www.kcl.ac.uk/depsta/medicine/d
I took topical steroid creams until the rash had mostly subsided, and then was allowed home, but had to keep going back to the dermatologist.
Of course, they couldn't do much, because PG isn't very well known or researched - the patients are far too spread out to do a collective study. But, at 30 weeks I was offered oral steroids. To this day not even the doctors can determine whether the outcome would have been the same had I started on them.
But I regret that. I never regret anything... but I totally regret this. Even if the outcome would have been the same, at least he'd have had a chance, you know? I kept having flare ups, which faded, and then came back.. but the heartbeat was still going strong, and I really was looking forward to seeing my child.
At 34 +2 weeks I had the heart scan.. all was well.
At exactly 35 weeks on the 15th June I went into labour. And that was when everything changed for me. I'm not going into the labour, I guess that was pretty straightforward - although it hurt like hell, and I'm not so sure I want to do that again.
Learning that your own body rejected a child is far more painful I think.
The consultant I saw explained that while it is highly likely I'll get PG again, and another child might be on the small side (which doesn't matter so much since no child in our family has been over 7 pounds), there's only a 1-2% of another stillbirth.
In itself, that's good news - from what I read, that's the same statistic for all pregnancies. Plus, I'll be checked far more often, and I'll recognise the signs earlier so it can be dealt with.
The bad news. however... is that I'm scared. Completely scared of making some mistake. Because I know that it was my blood, and my immune system that caused this - I'm beginning to have irrational thoughts such as - what if it was that one drink I had, or what if I didn't do the cooking, or what if I did too much exercise.. etc.
What if I do the same things again in any subsequent pregnancy and have to deal with this all over. I know it's irrational, and I'm doing everything I can to keep my mind off those thoughts, but they're there.
I can't get pregnant again until I've finished with the course of steroids, so that'll not be until after Christmas I don't think..
But I know now that I really want a child. And it's not to replace Lewis, nothing can do that, but I'm ready to be a mother; I'm ready to give my love and my all to a child of my creation.
I've often wondered that this was meant to happen anyway - to make me see that I am a good mother, and I do have that nurturing instinct in me. It hurts to think that, but it eases some of the pain I've been feeling.
Another thing I was thinking of, was that my mother had a miscarriage between my brother and me, and so did her mother, and my mother's grandmother on her father's side had 6 stillbirths before having my grandfather. I wondered if the autoimmune disorder was hereditary, since my mother and her dad both have rhesus negative blood. There's a leading consultant called Martin Black from London who's written quite a few medical publications on this, and out of curiosity I thought about writing him a letter explaining this. Not that anything could really be done, but it might be something to look into at least.
Anyways.. I've got a lot to think about, but after I've healed enough. And I'm not just talking about my skin.. I'm also talking about my mind.
My friends have been fantastic. I only wish I had enough words to express my gratitude and love for them for being there when I needed them. It's been difficult for me to accept help, or to take things that are offered to me - I've always been the strong one, slogging through the pain I suffer on my own so I don't burden people. And this time I've had to be stripped of the pride I had, and realise that I'm not being strong, but locking myself away and hurting inside until it builds up.
I also found someone unexpected to share this with, and that helps a great deal, especially as it's the last thing people would think of. So I'm healing, slowly. Taking each day as it comes, and learning to accept 'bad' emotions as ones that I have to deal with instead of being cold and distant with everything. I think it's working.
Well.. there's the update. I'm getting there.
I love you, and thank you from the whole of my heart and soul.
