Cholestasis

Danyen, Imogen, parenthood Add comments

We have a secret.

Recently, we got the feeling that not everything was normal with Regi’s pregnancy. But, being first time parents (pregnants?) we really didn’t know what to compare it to.

Regi has been nauseous for most of the pregnancy, with just a bit of a reprieve during a few weeks of the second trimester. She has had acid reflux. Her stretch marks have been very itchy. These are all things women experience, so we just attributed them to ‘normal’ pregnancy. But still, it seemed like it was worse for Regi. We knew we had to talk to the doctor when Regi’s itchiness resulted in crying herself to sleep at night, waiting for exhaustion to kick in to finally get some peace.

We began looking up what might cause her symptoms and kept coming across the term cholestasis, a rare pregnancy condition that affects about 1 in a 1000 women. 

Yesterday, our doctor confirmed our suspicions. We are still waiting on the blood tests (10 days to read!), but our doctor said that the symptoms Regi has are consistent and indicate that she has cholestasis.

Basically, her raging pregnancy hormones are causing her gall bladder to malfunction. this means that bile is building up in her liver and spilling out into her bloodstream. If you’ve ever smelled bile, you know that it is foul stuff and has no place in the bloodstream. The bile acids are now circulating throughout her body and building up, causing her to itch and scratch uncontrollably. This buildup of bile can lead to fetal distress, stillbirth, and hemorrhaging.

Thank the Lord, we have a doctor who is one of the nation’s best high risk pregnancy specialists, who also happens to be a family friend. After spending the weekend panicking about a stillborn baby and a toxin filled mother, our doctor reassured us that everything will be fine. While there is some danger and Regi is now ‘high risk’, He has safely delivered many women who have this condition. He was laughing and joking as we spoke about what was going on. This really helped us to breathe easy. Regi was prescribed a medication that should take away the itchiness in the next day or so.  

Immediately after our doctor visit, we were sent upstairs for fetal monitoring and an ultrasound. The fetal monitoring was to ensure that Imogen has a steady and healthy heartbeat. They want to know that Imogen is not being affected by the buildup of bile. The fetal monitoring test came back perfectly normal. We even got to see what a contraction looks like on paper. The lady that ran the test was very helpful and kind, taking time to talk with us about what was going on and what the test meant. 

Next, we went to the ultrasound tech who measured how much fluid was in the uterus. I’m not sure, but I’m guessing that excess fluid would mean a buildup of meconium (baby poop). The tech said that everything looked great. As a bonus, we got to see our almost ready for prime time daughter bundled up and waiting for her big adventure. She looks pretty smooshed in there. Her foot and her hand were up and covering her head. We did get to see her opening her mouth and floating about.  The ultrasound tech said it looked like she was blowing us a kiss. Again, the staff were kind and made a potentially frightening situation much easier to deal with.

We do not want you to worry. Our specialists are not worried. In fact, you may not want to read up on cholestasis, because the picture the interwebs paints is far more grim than the reassuring smile our doctor gave us. With monitoring and treatment, everything should go smoothly.

We would of course love your prayers and thoughts. Untreated, Regi’s condition could be life threatening for her and Imogen. Thankfully, we do not live in the dark ages. Our team is very capable of handling what is going on and has assured us that everything will be all right. If things begin to look abnormal, they will simply take Imogen out early. After the pregnancy, everything will return to normal. Well, normal medically speaking. Our world will be turned upside down at that point by diapers and crying fits.

Yesterday Regi started talking about how much Imogen was moving inside her. I responded. “The pool filter’s broken, and she pooped in the water. What would you be doing?” We had a good laugh.

It all just makes me realize how blessed we are to be alive. Every birth is a miracle, and every life should be lived like this is true.

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Comments

  1. Patti says:

    Reading your blog makes me smile:)
    Love you guys!!!
    God is good….all the time,
    Patti
    P.S. Still praying.

  2. Lois Hudson says:

    I agree with Patti. You touch my heart–both of you–either of you. Thanks for sharing the reassurances.
    and, yes, still praying.

  3. Natalie says:

    Thank you for giving us such a full report. Alex and I will be specifically praying for all this. Thanks for showing us what it looks like to be honest with the circumstances, asking for prayer, but not partnering with fear and panic. You guys are rock stars. And this little girl is going to be so incredibly awesome I can’t even stand it!!!

  4. Mom says:

    Thank you Daniel for that great explanation. With part tears joy and tears of fear(I am the mom after all) I am so thankful you stand with her not only holding her hand but walking beside her and enouraging her as well. Of course Grammy and Granddad are praying faithfully. We love you both .

  5. Mama King says:

    Wow, maybe Mike and Mikey have sympathy cholestasis. They are both all night itchers lately. :( Love you and glad the meds are working. Love our Doctor!!!

    1. Danyen says:

      Thank you all so much for keeping us in your thoughts and prayers!

      @Patti…. God is indeed good.

      @Lois… glad to have you along for the journey and blessed to have people who care and want to walk with us on the adventure

      @Natalie… Thank you for helping me put this in perspective. I have been working very hard at cultivating gratitude and thankfulness so that there is no room for fear in my worldview. You say something profound when you speak against “partnering with fear.” Whatever Imogen will be, she will be incredibly awesome indeed.

      @Mom… You bless me. Thank you for the compliment. For a fear filled, pessimistic skeptic I am doing my best to be positive. Honestly, though, I don’t think there is any reason to worry. God has this under control.

      @Mama King… Mikey has been an itch monster the last few times I’ve seen him. I hope he’s not developing what his daddy is already persevering. Marcus, the kids, and I prayed for Mikey’s itchiness on Sunday. Oh, and our doc is indeed awesome!

      Blessings to you all.

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