I've been away for a little while. Nowhere exotic, just unfortunately on a National Health Service sponsored getaway for one on a maternity unit in Hertfordshire. My usual long-windedness isn't called for here: I'm okay. The baby is okay. I'm still very pregnant, the baby is still using my bladder during what I can only assume is fetal soccer practice, and I'm no longer experiencing the level of discomfort I was two weeks ago.
It's been said that when you're pregnant, you don't mess around with anything. You have a pain? See a doctor. You have a funny feeling? Call your midwife. In this country, as I was very pleased to find out, they take anything pregnant seriously. I showed up at the hospital on Thursday night with quite squirmy pains and a bit of a temperature. I said the magic word (pregnant, more than 20 weeks) and instead of waiting in the normal ER (A&E) I was whisked to the maternity unit. I didn't wait long at all for midwives to strap Walt and I up to a monitor, take my blood pressure and a multitude of colored tubes of blood (the squeamish need not apply, it would seem).
The only drawback to the process is that the intake area for emergency cases in the maternity A&E is that it's within the labor and delivery suites, so my husband and I were treated to the melodies of two women in the very late stages of labor. I had earlier expressed a desire to try to go natural with the anesthetist in my last appointment. I've changed my mind. Drugs are good. Drugs are very, very good. Hearing primal screams emanating from my own body isn't appealing to me, and I really don't feel like scaring the pants off my newborn before it even has pants. I know pain relief is a very personal decision for every woman (and everyone and their neighbor has an opinion on it), but I was fortunate enough to experience both sides of the coin at the hospital. Hey, here's a good idea - want to scare teenage girls into abstinence or safe sex? Take them to a labor ward.
I digress. The diagnosis from the registrar (a head-ish doctor, I'm still getting used to British medical terms) and the surgical consultant was suspected appendicitis, but since the senior consultant surgeon wasn't in until the morning, I was taken up to one of the maternity wards to stay overnight for observation. The staff on the ward were very kind and helpful, letting my husband back in at 1am to give me some pajamas and my phone charger (you know, the essentials). I felt like a bit of a fraud; at exactly 24 weeks I was much, much smaller than the other women on the ward who were waiting for their time to be induced because they were overdue.
Usually, appendicitis presents as a raised white blood cell count (check) and severe abdominal cramping (check), but diagnosis is hard in pregnancy as at my stage. The baby was essentially blocking any view of the organs around the uterus, rendering a definitive diagnostic ultrasound out. Bloods were taken twice a day, doctors and midwives came in on rounds regularly. I have been pretty militant about not taking even the smallest dose of paracetamol while I've been pregnant, but the pain got to a point where I needed to ask.
They seemed very willing to prescribe analgesics, to my slight dismay. I don't want to pretend I'm a medical expert, I'm not. I can read, I'm fairly well educated and can navigate my way around the FDA website. I was prescribed Temazepam to sleep and codeine for the pain, the former being Pregnancy Category X from the FDA. Sure, the doctor said she prescribes it all the time in the ward, but I remained quite unconvinced. In the States, they say that taking Temazepam "will cause birth defects in an unborn baby." Um. Yeah. No thank you. Honestly, I was very put off by the doctors' assurances that it was completely safe in pregnancy - when I challenged her on it she said, "well, that's the States." Okay then. Despite all its myriad flaws, I trust that if something is classified as a no-go for pregnant women in the States, they're not third world enough to be taken with a grain of salt in the UK. I didn't end up taking the Temazepam.
So, my white blood cell count was climbing, and with the doctors less and less sure that I was suffering from appendicitis, they were scratching their heads. The head surgical consultant for the hospital came in on Saturday and pronounced me absolutely clear of appendicitis - it turns out that the baby, again during what I can only assume was fetal soccer practice, tore my right ligament that connects the uterus to the pelvic bone, or something along those lines. Thanks, baby! There was still the oddly increasing WBC though. Now comes the fun part.
We've heard in the news recently (especially in the UK) that bugs and germs love to take up residence in hospital wards. Put a bunch of immuno-suppressed women (as we "pregnants" are) in a ward together, and you have a pressure cooker of viruses from other wards or our visitors (we're limited to one - not at a time, just one period - for the duration of your stay). Despite having isolation rooms for such eventualities, the geniuses at the hospital deemed it safe enough for the two women in isolation to not have their own bathroom facilities. So it didn't really matter that they were isolated from us for the day - they used the same bathrooms we did. I've been relatively diligent since getting pregnant about being a total germaphobe, but I still managed to pick up a rather nasty pregnant version of gastroenteritis.
The virus knocked me for six (i.e. it was really, really bad) and the consultant obstetrician gave me a choice of being put in isolation or isolate myself in my home à la swine flu. Given the quality of food (disgusting) and being away from my husband, I chose to get sprung. Fast. I was in my own bed (or my own bathroom, at least) for Saturday night, and didn't feel at all well for very nearly seven days. I missed going to services for Yom Kippur, but had no problem fasting; anything I ate wasn't processed by my body for any nutritional value.
Some key learnings from my stay in the hospital:
- Fight your corner - the majority of women in the ward were below the age of 25 (I was twelve and fourteen years older than the youngest two, respectively) and there is a perception in some regional hospitals of the education level of patients. If you don't want to take something in pregnancy, don't. You have the right of refusal.
- Bring your own food - while I applaud the East and North Hertfordshire NHS Trust for offering both Halal and Kosher meals, the food on any menu was beyond unpalatable. By Friday afternoon, I had assembled a range of non-perishable foodstuffs brought in by my fantastic husband. I'll be packing similar food in my hospital bag for January. And while I'm on the subject, what's with the tea trolley? They don't offer decaf. In a maternity ward. You know. Women who shouldn't be having that much caffeine. Idiotic.
- If something hurts, tell them - I had an IV drip inserted into my arm. I still have a very pretty bruise (photos available on request), because I waited for 24 hours to ask them to take it out. It wasn't comfortable at all, I didn't get used to it, and it turns out I have an allergy to plaster (i.e. the adhesive used in band-aids). Tell them, and go back to point 1 - fight your corner.
- Wash before and after everything - it's time to get your OCD on. Buy some hand sanitizer; do not use it sparingly.
- Laptops, Books and DVDs - if they're lax, and they were in my ward, you could watch television in bed, listen to music (with headphones) and basically work from the (dis)comfort of your hospital bed if you so chose. Not having any entertainment for nearly 24 hours was brutal, so if you know you're going in, pack some funny movies and the latest Dan Brown in advance.
I didn't have a horrible time in hospital - I know it could've been much worse. I was reduced, at the end of visiting hours, to a blubbering, pregnant mess, but it wasn't unbearable. The care from the doctors, nurses and midwives was great overall, and while I wouldn't recommend eating in a hospital if you can avoid it, it's not going to kill you. The best part about it? No problems with the baby, and a relatively clean bill of health. That's the only bill I got, thanks to subsidized health care.
Score one for Obamacare.