“I had the same complications during pregnancy as Kim Kardashian, but I was much less fortunate,” the American Alisha Keller Berry, who was diagnosed with an increment of the placenta, shares her story.
Recall that during the first pregnancy, an American star of the reality show Kim Kardashian had an increment in the placenta. The increment of the placenta is extremely rare: 1 case per 25,000 births, and is observed mainly in multiparous. One of the causes of this complication is ancestral cesarean section.
Read also:Placenta: structure, development and function
At the 19th week of pregnancy, my husband and I went to the ultrasound of our second child. The first trimester of pregnancy was not an easy. I had a malaise, bleeding, and on15thweek of pregnancy - an attack of appendicitis.So we could not get enough of the fact that the baby survived this most difficult trimester of pregnancy, thinking that this scan would be unremarkable. But apparentlysomethingwent wrong
The survey dragged on for an incredibly long time, and the Uzoiste invited her into the officeobstetrician-gynecologist. I was expecting a “Hurray! You survived the first trimester!” Reaction, but instead fear and anxiety appeared. The doctor noticed that between the uterus and the placenta wassome kindambiguity, so she suspected an increase in the placenta, but the final data could already give during the ultrasound on28thweek of pregnancy.
Increment of the placenta is when the placenta behaves like a tumor
Googling information at home, I learned that the placenta pripescheniya - this is when the placenta behaves like a tumor, attaching itself to the wall of the uterus, and in some cases germinating through it, affecting other organs. This complication of pregnancy is very dangerous, it can cause severe bleeding, as well as lead to hysterectomy and 7% of deaths among mothers. Most likely, the placenta attaches and grows if you had scars on the tissues after uterus operations (the effects of cesarean section).
My first child appeared due to cesarean section, as in his case there was a pelvic presentation, and this, according to the American Association of Obstetrics and Gynecology, increased my chance of an increase in the placenta by 0.3%.
"Nobody informed me about such statistics when they offered to do a cesarean section. I was described all sorts of risks in case of failure, but did not talk about threats to my subsequent pregnancies."
And so, I had to wait another 10 weeks to find out my fate. I was advised to observe bed rest, which was difficult with the child in her arms. I was also told to keep the phone with me for the rest of the time and not to lock the front door if bleeding suddenly arises and ambulance specialists will need to enter the house. By the way, I was told that bleeding can kill me in minutes. I needed to prepare my family for all possible scenarios, which was not easy. And while other pregnant women were worried about the color of the nursery and the sliders, I thought about what would happen if my placenta starts to affect the rest of the organs, and will I survive at all.
I had a sprouting placenta, the most dangerous stage
On30thDuring the week of pregnancy, doctors confirmed the diagnosis, and the increment of the placenta became more complicated. Now I had a germinating placenta, the most dangerous stage in which the placenta grows through the uterus into the surrounding organs. In my case, the placenta overtook the bladder. I was immediately transferred under the supervision of specialists at Stanford Hospital.due tosevere nature of the increment of the placenta.
I was informed that with32ndweeks of pregnancy I should be in the hospital, under the supervision of doctors. I was prescribed a steroids cycle as a precaution to give my child’s lungs a boost. And it was just a blessing, because I started having contractions the night before I went to the hospital. The term was only 31 weeks and 5 days, so doctors suspected that this slight damage to the uterus provoked contractions, and the next morning they had to urgently form a team of surgeons taking delivery.
Births diagnosed with placental increment
The first days of the life of baby Annabel
That morning was like a fog for me.I tried to stay calm and have a positive attitude, while the anesthesiologist inserted large catheters into my veins in my arms to ensure a faster and easier blood transfusion.
These genera were different from the start.There were at least 20 surgeons and nurses in the operating room. It was nothing like a normal caesarean section, when an obstetrician, oncologist and anesthesiologist were standing next to you. We had to wait in the operating room for almost an hour until the doctors were convinced that they had the blood of the right group, in case of severe bleeding.
Finally, everything was ready, and I was given general anesthesia for the appearance of my Annabel, 1 kg 400 g. As soon as she was born, the doctors immediately took care of me. During the operation, I was cut out of the uterus, fallopian tubes and part of the bladder. I needed aspiration, intubation andfourblood transfusions. After 5 hours I woke up in the intensive care unit, unable to talkdue toinserted into my throat tube.
Read also:Cesarean section suture: how to care and what to fear
Postpartum: I had many complications after surgery
Since I was in the intensive care unit, I did not see my daughter for several days. I was not able to hold it for the next few days. She was beautiful and definitely worth all the suffering.She spent 34 days in the intensive care unit for newborns, and discharged her from there earlier than expected.
But my condition was still unstable for a long time.I had many complications after surgery. There was a catheter in my bladder, I suffered from intestinal obstruction, which completely stopped the activity of the intestines. My bladder could not recover at all and in two weeks I was discharged home only to determine the next day to another clinic.due tochest pains, and then sent back to Stanford for further treatment.
Aspiration during the operation caused fluid accumulation in the chest and required many procedures, including placing tubes in the chest to deflate it. I also had a fever, so I was also referred to an infectious diseases specialist.
It was a kind of merry-go-round of nightmares, each circle worse than the previous one.My husband was joking that this sounds like the words from one song “I take two steps forward, two steps back”. Everything looked so promising that the doctors had repeatedly told me about lung surgery and the possible re-operation to restore the bladder.It was just beyond my strength. I just wanted to be home with my family and live a normal life. But after about a month, the scan showed that my lungs were almost clear, and my bladder was healing, and I could go home.
Read also:The first visit to the gynecologist after birth: when and why
The worst thing is to be away from children for a month.
Alicia Keller Berry at home with her family
When people ask what was the worst thing in this story, I answer without any doubt: “The worst thing is to be away from children for a whole month.”During the first month of my life, I was only able to hold Annabel on my hands a couple of times, as I constantly struggled with the infection and were not allowed into the intensive care unit for newborns. Olivia was only 2 years old and she did not understand why mom was gone for so long. She came to the hospital only a couple of times, because I was very sick and a dozen tubes stuck out of me. I didn't want to scare her. I will never forget how we first spoke on Facetime, when I was still in the hospital, and she burst into tears upon seeing me. she missed mom, and mom could not do anything. And I was crying so bitterly in my hospital room that night.
If it were not for the support of my family and friends, I do not know how I would have scrambled out.Our relatives came from all over the country to look after Olivia and to be with me in the hospital. They alternated, cradling little Annabelle in the intensive care unit, since she was not given to me. Friends fed us more than two months. And my husband coordinated and delivered everyone every night from me to Olivia and back.
It's been 7 months since my second daughter appeared, but I'm still experiencing all those terrible moments.These memories will surely remain with me for the rest of my life, but I am happy that I decided and went through all this. I am so grateful to all the doctors and nurses for their help, as well as the people who provided blood. Thanks to you, I am bringing up my children here and now.
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