Hi Thorathora,
Sorry you're back in. I think with placenta praevia you do in the end become nothing more than a timebomb and I know for the consultants it becomes a bit like a game of 'chicken'. They sit there evaluating the risks and balancing it all up. How long can they keep the babies cooking versus should they get them out in case you have a really, really big bleed?
I think this is where consultants come into their own - it's about a lot more than guesswork on their part and even though you can feel like nothing more than a clinical study in a casebook, to them that's what it has to be about. You are a complex medical case requiring skilled assessment and evaluation. Becuase of this, your emotions can feel irrelevant and I know I struggled with that. I HATED being stuck in hospital and struggled with the boredom, the isolation, the fear, the shIt food, the sleepless nights, EVERYTHING. Not being in my own home whist everyone else seemingly got on and enjoyed their pregnancies felt very unfair. You lose so much with placenta praevia - the blithe enjoyment of pregnancy, the fiddling around at home for the last few weeks of your pregnancy, the lazy trips to coffee shops and baby shops on your maternity leave. I got none of that and it really upset me.
Everyone trips over themselves to say that you're in the best place and you absolutely are. If the doctors are getting edgy about you staying there then it really is probably the sensible choice to grit your teeth and take their advice. They are covering their backs, but only because the risk of further bleeding and a very big bleed is present and you don't want that. If you do have another big bleed then hospital really is the best place for you and your babies. At the same time, it doesn't mean that you have to enjoy it or be happy about it. You're allowed to be totally f*cked off at your bad luck as staying in hospital waiting to bleed is a pretty miserable state of affairs and not one that anyone would enjoy. A hideous mix of acute boredom and acute fear are not a great state of mind day after day.
If it helps, this is what I did to get myself through my month in hospital. I was still really naffed off and went slightly barking mad, but it did help.
- Turn your day around small events. I spent all morning washing my hair or giving myself a 'home facial'. Get someone to bring you in sachets of conditioners and face packs, etc. I would blow dry my hair into smooth brilliance and wander around with clay masks slathered on me (attractive look!).
- Plan your day. I'd break it up into sections. The morning spent having my breakfast and walking to the hospital shop for a newspaper. Then I'd chill out for a bit or pain my toenails (would take me hours as I had to navigate my giant bump) and then go for a little walk around the grounds.
- Go for little walks. The midwives originally got a bit grumpy about this as they said I had to be on the ward all the time in case of a bleed but I really think I'd have gone mad if I'd done as I was told. In the end, I had a bleed one evening and no one answered my buzzer (apparently it wasn't working through to the nurses station) and so I lay in bed for twenty minutes pushing the buzzer wondering where the hell everyone was. Thankfully the bleed was small and stopped pretty quickly but I did point out to them that if it had been the massive bleed that they kept warning me about then I'd have been toast in the 20 minutes it took for someone to wander into my room. After that I decided I had a bit of leeway during the day. I'd only do little walks about the (very drab) perimeter of the hospital and I always took a bit of paper and my phone with me. The paper would have my name, my hospital number (on my wrist tag also) and details about my pregnancy - praevia, twins, how many weeks I was. In the event I never bled on a walk and actually rarely bled during the day. If I did they were very, very light and short in duration.
- Read. I'm a big reader anyway but I read every magazine going. I got my husband to bring me in books and I did the Telegraph cryptic crossword every day (I got very good!). In the end, even I was bored of reading, but it did kill a bit of time, especially if I broke it into one of my time slots rather than just reading endlessly i.e.. I'll read from 10am to 12pm and then I'll go for a little walk....
- Beg for visits. I now realise that I didn't get visited nearly enough. Only my husband every evening (from about 6.30 after he'd left work) as all my friends worked, my hospital was far away and I don't have any family. My in laws live 200 miles away and drove down a few times but I didn't have many visits. Maybe one a week, which isn't very much when I look back. Until you're in the sitation yourself I don't think you realise how important visitors can be and so I now think I should have pushed more; rang up my friends and said "I'm going stir crazy, please visit". That way my husband might have got a bit of a break also as he spent every night for a month at the hospital, usually mopping up my tears.
- Beg for decent food. God, I struggled with the food. I lost weight in the end and certainly was all bump and eyesockets by the time my babies were born as I subsisted on vitamin pills, iron supplements (I was badly anaemic from all the bleeding), packets of mango and yoghurt from the hospital shop. Every lunch was an egg sandwich (the only one I could bear from the rather sad selection on offer in the shop) and dinner was a packet salad from a supermarket (courtesy of my husband). HOspital food was dire - a bit like aeroplane food in that it's okay for the first day but the endless rotation of mince and nuked vegetables was just too much. Again, I wish I'd got friends to bring food in. In the end we got clever about meals (packets of smoked salmon and pitta bread and salad made meals and sandwiches for me) but it was pretty crap. I still get tearful about the fact that my mother in law drove a 400mile round trip to bring me minestrone soup and roast chicken, which I can still taste.
- Negotiate with the consultants and midwives. Don't be afraid to say if you're struggling with it all and are tearful. In the end I cried every day I was so strung out by it all. After a near solid day of crying my consultant agreed that I could go out for dinner in the evenings and so this meant decent meals and some time in the 'real world' (which I was strangely removed on - I remember how alien being in a restaurant felt). He also agreed that I could go home on 'day release' one weekend, although that never happened as I had my big bleed and section on the Friday. I'm sure they all thought that I was a complete baby and drama queen but being in hospital can be a real struggle and your consultant, rightly concerned with the medical implications of your care, can sometimes lose sight of this. It doesn't hurt to remind them that you've got emotions too.
I can't offer help with the issue of what to do with your older child whislt you're in hospital but I did want to say hang in there. As other posters have said, in the end it DOES end and you get to go home happy and well. It doesn't really help when you're stuck in hospital as NOTHING helps, but just hold onto that thought. One day soon you'll be home with your lovely babies and you won't have placenta praevia any more.
I so remember what this is like so I really feel for you. If I can help in any way then let me know as I'm based in London.
K