The Third Trimester of an ITP Pregnancy

ITP Pregnancy, gestational thrombocytopenia, immune thrombocytopenia during pregnancy, breastfeeding with ITP, birth with ITP, ITP birth plan, low platelet pregnancy

Feature image from PREGART

Read about the 1st TRIMESTER and 2nd TRIMESTER here.

Yes, if you haven’t heard, we are having an ITP baby and are already in the third trimester.  Yay!  Our focus is finally turning towards labor and birth which is very exciting.

Doctors – ITP Pregnancy, gestational thrombocytopenia, immune thrombocytopenia during pregnancy, breastfeeding with ITP, birth with ITP, ITP birth plan, low platelet pregnancyI am seeing doctors at the hospital every two weeks (Every other week at my GP) at the moment with ultrasounds every third to check baby growth and wellbeing.

The baby doctors are very different to what I expected.  There seems to be a myth going around the obstetricians are evil old men who treat women like dairy cattle, but I have yet to see that.  Our baby doctors are both hilarious women and young positive men.

We have not come across any evil maniac OB’s who want to induce us at the drop of a hat and have scheduled c-sections so they can spend all weekend playing golf.  No one has rolled their eyes at us when we mention delayed cord cutting, minimal monitoring, calm birthing and setting the mood.

They are all so positive about our natural birthing plans and are keen to support us through the most natural birth experience available at the time.

Platelets – My platelet count has stayed around 145 for the last two months, which is fantastic.  I defiantly feel like I have earned that result.  I have been healthier than ever and are very positive that I can keep the numbers high.  

Medication –  I’m still taking CLEXANE injections and aspirin for Antiphospholipid Syndrome also know as HUGHES SYNDROME. The combination of ITP and APS in pregnancy is something that only a few doctors really understand. But to put it very simply, I am on prednisone to increase my platelet count, and clexane and aspirin to prevent blood clots.  

Bleeding – Nothing.  Yay!  

Bruising – Only at the Clexane injection sites.  

Nausea – Is back. Which I was not expecting.  Not as bad as in the first few months, but enough to ruin a perfectly good day.  While I used to feel sick before I ate food, now I feel a little nauseous after I eat food.  Eating tiny meals is helping. 

Exercise – Yoga, once a week.  Ballet down to once a week, due to wanting to catch up with friends and relax at home before the baby comes.  I’m walking a little each day, but no serious marches about town for hours or anything.

Headaches – Not anymore.

Sleeping – Badly.  See The Belly below.

Anxiety – I expected much worse.  There is a little general anxiety about the fact that my life as I know it is about to transform forever, but really, I thought I would be a lot worse than I am.  Maybe the hormones are protecting me?  I’m generally feeling pretty good about the whole thing.

Feelings / Worries – I do have a few worries, mostly about not knowing what is going to happen straight after the baby arrives.  There is no ‘usual’ outcome for a woman with ITP during her pregnancy.  Some births are excellent and some go badly.

transverse baby lie, transverse baby 34 weeks, transverse uterus, transverse baby presentationThe Belly – Our baby is transverse at the moment, which is nothing to worry about, but still very uncomfortable.  I can feel he keeps trying to turn but can’t make it – and that hurts a lot.  I thought he was going to come right out the front of me last night.  

Exhaustion – Mostly because of the lack of sleep.  

All in all, everything is going really well.  It feels like such a long time ago that I was worried and stressing about every tiny detail.  The doctors are really happy with how everything is going and my focus now is on keeping it that way. I’m excited about labor and the next stage of our life.

It has been a long time pregnant and I feel a little bored of it now.  I wonder if pregnancy is meant to get uncomfortable, painful and a little boring to help you get excited for labor.

by Meg

Meghan Brewster is a writer and blogger. She is an ITP patient and launched ITP&Me in 2011. She is a coffee lover and a try hard dancer. @meghan_brewster

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