Week 31: recap of Obstetric Cholestasis symptoms

Week 31 belly shot
Week 31 belly shot

Although I did not post these photos last week they were taken last Wednesday when I was 31 weeks pregnant with my twins. It has been a difficult week emotionally and physically. Having a dear friend pass away is not something I’ve had to deal with many times- and even though this is not the first friend I’ve lost it doesn’t make it any easier. This is why I felt like I needed to take a break from my blog and just process things before continuing to write. I still feel guilty writing about my how happy I am to be carrying these two babies and how much I am eagerly anticipating their arrival. I do want to continue to press on and stay consistent with my weekly updates, so here is a recap from last week.

Week 31 pregnancy symptoms: Dealing with Obstetric Cholestasis

As far as my physical symptoms for this past week- I’ve also been pretty miserable and overwhelmed with how to deal with Obstetric Cholestasis (OC). In a previous post I described the itching in detail. That has been pretty much the same even while taking the Ursodiol medication. After being on the increased dose of Usodiol (600mg every 8 hours) I am still experiencing the same amount of itching (mainly on my hands, feet, ankles, arms, belly- well, it’s basically everywhere). I have found some ways to get on top of the discomfort and soothe my skin so that I can stay somewhat sane.

6 things that have helped me cope with Obstetric Cholestasis:

#1: Scratching does NOT help! It is so hard to not scratch, and sometimes I wake up scratching in my sleep- which is pretty much unavoidable. I do know that once I start scratching I can’t stop and then the burning and itching becomes much more intense.

#2: Resisting the urge to scratch is mainly a mental exercise. I have to focus on other things, try to distract myself and stay calm. As soon as I get upset about the itching it overcomes me and I want to rip off my skin. This leads to me turning into a child throwing a tantrum yelling “make it stop”!

#3: Soothing massages help distract me from the itching. I’ve been asking my husband to run his fingers through my hair or tickle my back whenever he has a chance. This really helps to calm me down and keeps me from focusing on the irritating itchiness.

#4: Benadryl helps with sleep. I have been assured again and again by my doctors and other friends who have been pregnant that it is safe to take Benadryl during pregnancy. I have been hesitant to take any type of medication during this pregnancy, but I finally gave in and started taking Benadryl regularly. It doesn’t actually relieve the itchiness, but it does make me drowsy enough to fall asleep at night (and during the day when I desperately need to catch up on sleep). I guess OC is helping me prepare for interrupted sleep after the peeps are born.

#5: Soaking in a warm(ish) but not hot bath helps relax and soothe the skin. If the bath is too warm it can make me more itchy, but if it is just about body temperature it feels pretty nice on my skin. I am able to float in the tub and escape the itching. I have been taking a bath as soon as I wake up- when the itching is unbearable, at night before bed when the itching starts to get worse. I sometimes take multiple baths during the day or in the middle of the night when I wake up scratching myself. I always use Dr. Bronner’s Pure Peppermint Castille Soap as a body wash and this leaves my skin feeling cool and tingly- which helps with the itching too.

#6: Aloe gel is soothing on my skin. Rubbing the gel from a fresh aloe plant works too. I also have been using the Honest Company Healing Ointment- especially in areas where I’ve broken through the skin from scratching too much.

This post is probably pretty boring for those of you who are not suffering from OC. But, hopefully this post will be helpful for those of you pregnant mommies who are dealing with OC during your pregnancy.

Finally I’ll leave you with my 31 week bare belly shots:

The bare belly is getting a bit scary
The bare belly is getting a bit scary

30 week twin pregnancy update

Week 30 belly shot
Week 30 belly shot

We’re in the 30s!!!

This is just a super quick update to share my 30 week pregnant belly shots with you all! It’s Thanksgiving, so we are planning to drive about 2.5 hours away for the weekend and I’m just about packed and ready to head out the door. We’ve been a bit apprehensive as to whether or not we should make the drive due to our exciting week full of contractions, cramping and cholestasis.

My OB wasn’t comfortable with us going so far and she gave me a good list of possibilities of things that could happen like- you could be hospitalized away from home, your babies could be born there, they could end up in the NICU for a month or more and you’d be stuck in a hotel for their entire stay. She succeeded in freaking me out pretty good, but honestly I just don’t think these babies are coming this weekend. I know things can happen that we never expect, but even with all of my contractions and cramping my cervix is still completely closed- and has not changed at all!

I had an appointment with my MFM specialist and asked him what he thought about me traveling for Thanksgiving and he was okay with me going 2.5 hours away. He did give me a copy of my ultrasound report to give to an ER doctor in the other city if for some reason we end up needing to go in. All in all my husband and I still feel good to go, but we will be praying the entire time we are away and I will be taking it extremely easy (couch potato status). If you think of us this weekend please pray that there wouldn’t be any complications while we are out of town!

An update on my Obstetric Cholestasis (OC):

I mentioned in my last post that after taking Ursodiol for a few days I thought the itching was improving, but then it started to be even worse than before. It has continued to stay pretty consistently irritating. I found out while talking to my OB that the dose I was originally given (300 mg 3 times a day) was actually the wrong dose! I was supposed to be taking 600 mg 3 times a day. I’m told that this is why my itching hasn’t cleared up. I’m now on day 2 of taking the higher dose, so I’m hoping it will start to work. More importantly when the itching goes down this should be a sign that the bile acid levels in my blood are also going down- which is what I’m mainly concerned about.

That’s all for now, hope everyone has a wonderful Thanksgiving!

Belly button starting to poke out
Belly button starting to poke out