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Childbirth

Cardiac arrest during elective caesarian section. Nevergoogle in need of a bit of support.

230 replies

nevergoogle · 06/04/2014 23:07

DS3, who is a lovely bundle of loveliness, arrived by elective c-section a week ago.

For unknown reasons (so far) I had a cardiac arrest during the surgery where my heart slowed to a complete stop. I was resuscitated with CPR and adrenaline before surgery was completed and I was transferred to intensive care. All tests so far point to an otherwise healthy heart. (Usual obs monitoring, ECG's and US)

In time I will be having follow up input from cardiology/anaesthetics/obgyn/perinatal mental health team/intensive care psychology. I'm now home wearing a 24 hour heart trace.

We haven't announced this in RL (apart from close friends and family), so if you know me please be discrete, we're still getting our heads around what happened.

But just WTF? How do I process this? How do I rebuild myself, DH and I feel completely steamrollered. All the while DS3 is BFing on demand 2 hourly, and I have all the usual c-section recovery to contend with. The other two children aren't aware but are starting to question why I keep crying and me saying I'm just so happy to be their mum is being met with Hmm.

I have zero concentration, tv/radio/music is just noise, I can't face phonecalls/visitors and apart from a birth announcement on facebook I just can't do it. I'm not even sure i'm ready for this thread so may bow out if it gets overwhelming.

On the upside, DH and I are being spectacularly kind and patient with each other and the children. We are having lots of quality time and keeping life simple and there is an atmosphere of calm in between my moments of despair and sobbing.

Anybody been through similar?

Sad

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nevergoogle · 11/05/2014 15:13

Sorry to have disappeared. A few bad nights with the baby but back on track now.

The debrief was good I think. They gave me a run through of what happened and why. I had to probe for more detail like the names of the drugs given rather than 'we gave you something to raise your blood pressure' etc but as expected there was no definitive reason why this happened.

One theory is a reaction to the epidural but I didn't start to drop my heart rate until 15 minutes after baby was born, so it's unusual to have an adverse reaction at that point.

Another theory is that it happened shortly after the oxytocin injection, so maybe a reaction to that.

Another theory is that it's linked to the 'vasovagal syncope' which they are now calling 'unexplained collapse'.

One interesting point that I was completely unaware of is that my HR had started to drop prior to me noticing and saying I felt unwell. They had already given me two drugs when it initially dropped to about 40 bpm, but there was no improvement, only dropped further. Reassuring to know that they were aware of the problem and treating it before I said anything as I'd felt that it was me that was the first to notice there was a problem.

I explained that although I felt good in my mood, I am struggling with concentration. Then I forgot the word 'memory' so couldn't explain that I felt my memory was a problem too. Hmm i said how i feel is similar to how i felt after an RTA aged 16 when i was diagnosed with PTSD. They have written to the healthy psychologist to try to expediate the referral that should have gone in from ITU.

In the end, I thanked them for saving my life and my baby which felt like the right thing to do. I'm sure they get a lot of criticism and have to be on the defence at a debrief.

I've also had a wound infection but am getting better without antibiotics thankfully. And GP didn't think a supervised exercise referral was warranted so I'm just gradually increasing my walking distance although 3 miles is plenty at the moment.

So the next step is cardiology appointment and healthy psychologist.

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Mignonette · 11/05/2014 15:26

Never

My SIl went into CA during an ECS last year. They really struggled to resusc and eventually managed it but my niece was left w/ brain injury.

My SIl is now fine. There was no reason that they could find. My SIl said she felt the baby was distressed (unusual movements) and the first clinic refused to check her out. They travelled to another clinic whereupon the baby was found to be in distress.

The Cardiac tests came neg for her. However I did urge her to seek counselling and she did so because she was so very traumatised. I also reassured her that it was normal for her to repeatedly talk about the birth and its aftermath.

When something like this happens one of the ways in which we 'make sense' of the event is by retelling and soliciting the experiences of the others involved. It might help you to have a follow up (Debriefing) with the OR team, the MWs and OBGYNs purely to go through your notes, the intrapartum records and OR records. Not to point fingers (they might need reassuring about this) but to help you know your story.

In additon, time spent in ICU can be very disorientating and distressing. Having a chat with ITU staff can help you with this too. There may be local support groups too.

If you like I can ask my SIL to make herself available to you. She has gone through many of the emotions involved and may be able to offer you some comfort and support. Please do PM me if you'd like this.

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Mignonette · 11/05/2014 15:26

Sorry, your last posts weren't showing up on my feed for some reason so missed that you did indeed have a debrief.

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Mignonette · 11/05/2014 15:35

Never

Things not feeling real can be something we call Derealisation and when We don't feel real it is called Depersonalisation.

It can be a protective mechanism to help us manage shock and trauma or it can be a symptom of anxiety.

With the former, it will slowly wear off and you will adjust to the memories and thoughts about what happened to you.

With the latter it can take a little more because eventually the anxiety that produces the feelings of derealisation starts to turn into anxiety about why we are feeling derealised. People then start to focus too much on these feelings (or lack of them because ultimately it can cause a disconnect between you and your emotions) and may even forget the initial causes of the anxiety that triggered this maladaptive coping mechanism.

A Psychologist will help you adjust. I would imagine that over the next few weeks if it is a derealisation caused through trauma, that you will start to feel more engaged with life and as such, start expressing the trauma- being teary, maybe bad tempered etc. This is normal and you really need to go with it and get it all out.

Good luck!

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nevergoogle · 11/05/2014 16:16

the way i feel about it is sort of 'hey, you'll never believe what happened, weird huh?' or 'i nearly died, but i didn't, phew...anyway what's for dinner'

which is that? either i'm remarkably stoic and resilient or i'm not done processing.

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Thumbwitch · 11/05/2014 16:20

OMG Nevergoogle, I can't imagine how I missed this! Congratulations on your beyewtiful little baby dragonb, but what an event!

I have read all your posts, and most of the others, and think it's possible that you are still in some level of shock. It can take some time to fully wear off, if it ever does (I still don't think I've ever really got over the shock of my Mum dying when I was 19w pg with DS1, and he's 6.5 now) but you should be able to help it along now that you've had your debrief, and with the psych appts you are getting organised. I'm pleased to hear that your docs/team etc. have been so good so far!

Sounds like your DH and DC have been utterly brilliant - and your new baby is scrummy, of course - but you do have to continue to give yourself time and space to recuperate. The lack of concentration that you were (are?) experiencing is likely also related to the shock, although sleep deprivation won't be helping it!

ThanksWineCakeBrewThanks for you - hope things start to look up soon.

Oh - re the knees - this may or may not help you. I was in the UK in April, which is probably how I missed the start of this thread (less MNing!) and I was being slack about taking my usual multivit/mineral and oils (I still take pregnacare daily, and mumomega fish oils daily (still bf'ing DS2) and 4000IU vit D3) - in fact, I didn't take them for about a week - and suddenly my knees started playing up, being stiff when I woke up in the morning, clicking when I went up the stairs, that kind of thing.

I'd had it years ago - the aching stiffness in the morning, mostly - but hadn't had it for years since taking the supplements. And then after ~a week of forgetting to take them, it was back! So of course I made sure I got back into the routine of taking them again and the knee stiffness/ache has receded again, not completely gone, but definitely got better.

My point: you might benefit from taking supplements - I can't tell you whether it's the oils or the multivit/min that makes the most difference, could be either, could be both - I know that manganese and magnesium insufficiency could both contribute to the achey pains, but so could a few other things. Worth a try?

If it is more of an arthritic/arthropathic complaint, then you could try tart cherry juice instead - available online or from H&B - it's very good for joint pains (and for muscle recovery, could have helped with your ribs if I'd only seen this before!). It's costly but worth it - it's very good.

Sorry for epic post - hope your concentration can cope with it! xx

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nevergoogle · 11/05/2014 16:21

not healthy psychologist obviously, although he/she better be.

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nevergoogle · 11/05/2014 16:24

thanks thumbwitch, my knees are much improved. i think along with the wound infection. so maybe linked. i couldn't take pregnancy vits during pregnancy as they instantly were thrown up and seemed to trigger the vomitting. ill give them a go now anyway x

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Mignonette · 11/05/2014 16:27

Never

A mix of stoicism, got to get on with it and derealisation. And what you are feeling is totally normal in the circumstances.

Many women feel this shades of this after a traumatic birth, a super swift birth and the shock of finding ones life irrevocably changed by Motherhood.

Time heals but do see that psychologist. Flowers

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nevergoogle · 11/05/2014 16:29

thankyou Smile

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nickelbabe · 11/05/2014 16:38

googly, sweetheart! I'm sorry I.missed your thread. I was only thinking the other day I didn't know how long you'd got left and hoped I didn't miss the birth announcement.

I've read the whole thread, and yes, csn totally understand how you feel detached from it, almost like this kind of thing happens to other people. it's also a normal reaction for your body and brain.to keep going.
you sound satisfied by the debriefing.

I.am also mindful of the fact that that picture of your new ds is a few weeks old now and you really do need to update it....

CakeBrew

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Thumbwitch · 11/05/2014 16:54

Your ways of describing what happened are minimising it but whether that's because you still don't quite believe it happened to you, or you're too scared to accept what nearly happened to you, is something that you and the psych will hopefully be able to work through and sort out.

Also you're probably still reacting to having seen all those shocked medical faces around you and don't want to see that on the faces of your friends and acquaintance, so you're downplaying it
to them.

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nevergoogle · 11/05/2014 20:15

but there are no traumatic memories, I was unconscious during the CPR and once I was conscious again, things were calm. having worked in ITU myself it's not something I find overly intimidating and the team were brilliantly confident and reassuring.

having no memories of it, i can't have flashbacks or upsetting memories.

it's more a what if the worst had happened...but it didn't.

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KristinaM · 11/05/2014 21:26

I'm not a HCP but I'm sure that the boundaries between consciousness and unconsciousness are not as clear cut as you suggest.

And you are right, compared to many medical traumas, yours wasn't one of the worst. But it's still a big shock, especially in this country where maternal deaths are so rare, we take for granted that we will be ok. Not the same as you know in many other counties or in the past in the UK.

Are you feeling guilty because you have some symptoms of trauma and you feel that you really shouldn't have, that it wasn't really that bad, that you are a bit of a fraud?

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Thumbwitch · 12/05/2014 02:43

No traumatic memories, maybe - but there's still the "what ifs" buzzing around. "What ifs" are bad enough normally after birth - did you ever have the "what if I trip and fall down the stairs while I'm holding my brand new baby?" fear? I did, every time I came out of my bedroom for weeks (bedroom door at the top of the stairs, there is a landing there but still) - I think yours have just been re-focused onto what could have happened, but didn't, as opposed to what could happen now.

I'm sure the psych will help you work through it though - maybe there is a forum for people who have been through similar that might help you more? I don't know if there is though.

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nevergoogle · 12/05/2014 14:52

perhaps i've had enough CBT and counselling in my life to recognise 'what ifs' as unhelpful though patterns and not to dwell on them.

but yes the post natal, what if i fell down the stairs, dropped the baby in the bath, left the baby somewhere thoughts are there but i'm sure that's all normal. those thoughts are not overwhelming.

the unrealness perhaps comes from absolutely no memory of the traumatic part, the cpr. but also being a HCP and having done CPR myself, perhaps there's no mystery to what was done while I was unconscious so no worry. it just was a necessity, a physical act and it worked hurrah!

baby is 6 weeks old tomorrow. Smile

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nevergoogle · 12/05/2014 14:54

This reply has been deleted

Message withdrawn at poster's request.

Thumbwitch · 13/05/2014 11:43

Ahh, he's lovely! look at that little smile x

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nickelbabe · 20/05/2014 13:23

awwwwwww he's gorgeous!

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1944girl · 22/05/2014 01:09

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nevergoogle · 22/05/2014 23:00

Hi there,
I'm doing really well and feel back to normal (as much as I can with disturbed sleep and a newborn).
I have an appointment next week for critical care follow up.
My concentration has returned enough for me to follow a new sewing pattern and make a bag for my lovely friend who stayed up cuddling baby til 5am.
Memory still slightly dodgy but i do think that's down to lack of sleep. And i have a whiteboard chart to prompt me on all the kids stuff, calenders and my phone reminds me to do stuff too.

The whole house has been struck with diarrhoea and vomitting this week however. That's not so good. Especially as DH was doing such a great job of taking care of the kids to let me rest, when at 3am he started vomitting. This morning we considered an arm wrestle to see who had the most energy to take the eldest (and over the sickness) to school but didn't trust ourselves to try our hardest. Oh and the dishwasher has broken.

Hey ho!

I'm going to take all the help offered just in case. But honestly feel really good. and thanks, he really is a very lovely thing.

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1944girl · 23/05/2014 00:15

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Message withdrawn at poster's request.

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KristinaM · 23/05/2014 00:19

Me too Smile

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nickelbabe · 26/05/2014 22:17

Blimey. you don't do things by halves!
hope you're all better now and were able to enjoy the bank holiday

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nevergoogle · 26/05/2014 22:38

well we had promised a family trip to the zoo and kept that promise. has taken us two days to recover from that.

at this point, i'd love a full nights sleep, but think that's a while off yet.

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