Tuesday 9 September 2014

What is Rhesus Incompatibility?

So if you've read letter to Charlotte you know the basics of what has happened to us in the beginning. To put it into a better perspective, we've been through hell and back. Obviously, it's not the worst we could of experienced. People go through alot worse than us and some people don't even get there baby, I really feel for these parents as how they get through it all I will never know. I know and understand that things could of been much worse and under those circumstances, we have been so lucky and we should be grateful but I can't help being angry. Being angry at the time I feel has been robbed from me. 

Normally people have their first babies with no problems and get to take them home a day or two after they are born. Enjoying their newborns in the comfort of their own home. 

I am tortured by the image of my baby's cord falling off in the hospital, marking the first event in her little life and that we should be able to cherish but instead, 6 months on, I still cry at the thought of it. Some people will probably think these feelings are pathetic but to me, I've lost a lot which I won't and can't get back. 

So what's rhesus? Well everyone is either positive or negative. You're tested for it in pregnancy and if you're positive then this probably won't make much sense to you as you probably won't of heard of it :) but if your negative, which is what I am, it can cause problems. Now to be honest we are the rarer end of the scale, as normally first babies don't cause this kind of problem. It normally affects subsequent babies, who are rhesus positive and to combat it you are given an Anti-D injection at 28 weeks pregnant and after giving birth to prevent any reaction. The problem is caused when the mothers blood mixes with the babies to cause a production of antibodies. This is why the injection is given to prevent this.

In my case, we have been told that it is very likely that I have miscarried a baby or babies, which I didn't know about and they have caused a stimulus in my body to produce antibodies to fight against my growing baby. These antibodies see the baby as a threat to my body. This is basically what has caused Charlotte all of her problems, as my body was protecting me against her, attacking her blood cells and trying to kill her off. 

Thankfully my little fighter, fought her way through as otherwise she wouldn't be with us today. This is what caused her jaundice and then eventually her anaemia. She still has these antibodies in her blood today, however as she is older now her body is able to manage it by itself and the antibodies will eventually die off, so won't cause her any problems in the future, thank goodness, it will just take time but thankfully the doctors are no longer concerned. 

I think the difficultly for me has come with all of this being so unexpected, being in and out of hospital for blood test and the constant fear that she would have to go back in for what seemed like she would need multiple blood transfusions and god knows what else. It's been the crying that she won't feed or the health care professionals looking at me like it's my fault. Saying "Are you sure your feeding her correctly?" Or "You are only feeding her on one side aren't you?" Making you feel like your the reason for you baby being so poorly. Then these same idiots having to prick her heal more than once because they didn't do it right the first time. Seeing her blood being taken that many times that you could do it yourself better is so infuriating. It's also watching your baby cry while she has her blood taking and her looking at you to make it stop.

In the early days blood tests were every few hours, then daily, weekly, two weekly and then finally monthly before they were stopped. 

When Charlotte first came out of hospital, she had 24 hours at home. The midwife came to visit us and took her blood to make sure her bilirubin levels had stayed low. As you know that night we return to hospital for a further 2 days, the worst part is we were rushed in because it appeared her levels were dangerously high. Don't get me wrong but they were very high but it wasn't as high as the community test had made out. Scary to think that as the blood was taken to the hospital it altered the results, making them a lot higher. This happened twice before I refused for the community nurses to do it again. The second time it happened we were allowed to stay home and return to hospital the next day for another test. Creating an additional test which she wouldn't of needed. 

As I wouldn't let the community nurses carry out the tests anymore, we were asked to attend children's outpatients at the hospital. This was a completely nightmare as all of the nurses seemed incompetent at their jobs, from pricking her big toe at 4 weeks old, to taking 40 minutes to take two tiny viles. My poor baby was tortured into hysterical fits of crying by these barbaric people. I couldn't take anymore and refused to take her back. I eventually made a complaint which to this date is still being investigated.

For the final few tests, we were allowed to go to Koala Unit where thankfully we experienced people who could do it properly. 

Witnessing all of this as a new mummy would tip anyone over the edge. I've found it extremely hard to hold myself together through it all. 

Thankfully Charlotte is at the better end of it now and doesn't require anymore tests. They are still keeping an eye on her but through symptoms rather than blood and for her reflux aswell.

Last month, I was eventually followed up myself by a haematologist to look into what has caused all of this and what kind of problems we are going to expect in the future, for more babies.

I have previously been told that if I have another rhesus positive baby, we can expect this all over again, however I will be classed as higher risk and it could be a lot worse. If my body doesn't reject the baby completely through a miscarriage, we are looking at blood transfusions for the baby in pregnancy and possible prolonged stays in hospital and all this dabbling could risk me loosing our little one anyway. Apparently we should expect to see a consultant throughout the pregnancy on a regular basis. Scary thought really as I still cannot be parted for Charlotte now, she hasn't left my side for more than a walk to the shop with Daddy and even then I go to pieces. How will my poor little one cope without me and me without her. 

So anyway back to my actual appointment, it's all very complicated as at the moment and they are at the guessing stage, guessing what may happen. They have took mine and Ricky's blood and we have to return in October for the results. This is where we will find out how this will really affect us and how likely it will affect all or some of our future Children. I'm so nervous about it. I would love more children since I've had Charlotte. 

It's crazy because when I was pregnant, after having SPD I was adamant that I wasn't having anymore. In fact I was becoming a nun and crossing my legs haha but then she was born. This perfectly gorgeous tiny little being and the overwhelming joy and love that came with her. She has made me crave to experience it again. I crave to give my perfect girl a sibling or two to play with :). To feel them and watch them grow inside me. To bring them into a world where they will be loved beyond any imaginable level but is it fair is the question. What that poor little baby will go through, even though I know it's all worth it in the end. Or will we just experience loss and devastation before they are even brought into the world and will we loose a part of each other we can never get back. Will I recover from such a loss. I'm already struggling with the losses I didn't know about.

So for me October can't come quick enough so I can find out what our future holds. I know whatever happens, my dreams came true with Charlotte and she will be cherished no matter what. I look at her everyday and know how lucky I am. 



Letter to Charlotte - Rhesus incompatibity - Our joy turning to heartache

Before you were even conceived Mummy loved you. From the moment I found out I was pregnant, I knew you would be a girl. Daddy and I decided you would be called Charlotte very early on and we were so excited. You are our world. From the moment you were born, I was filled with love for you.

When Daddy and Nanna left us to go home. I would just lie and stare at you. I adjusted my bed so it was in line with your cot so I could see you. I couldn't believe how perfect you were.

That night a doctor came and told me there was an issue with your blood and they had to take another sample to check it. At the time, I didn't understand what this meant but the next day I soon did.

You were very jaundice due to a problem with your blood. Blood of mine had mixed with yours when you was inside me which meant my blood was trying to protect me from you, thinking you were an illness of somekind. This wasn't very good for your little body and the hospital had to do something to make you better. They put you under a little light which meant Mummy and Daddy could only hold you when you were being fed. This killed Mummy as it was so hard for me not to hold you. 

 You wore an eye patch to protect your eyes from the light which you hated and it made you cry. You craved contact from Mummy or Daddy. Daddy would hold your hand which helped to sooth you. Problem was you wouldn't let go and Daddy would have to sit there for a long time, he never used to mind though, as it was as much for him, as it was for you.
 Your jaundice made you very tired, which meant that you wouldn't wake to feed. Mummy would have to wake you and even then you were to tired to suck. This wasnt good as food was the only thing which could make you better. Mummy used to get so upset as she didnt know what to do to make you eat. She would change your nappy, wash your face, poke you, blow on you, anything which might help you wake up. Problem was you liked your face being washed and it sent you to sleep and everything else you would just sleep through. Luckily Nanna was on hand to help and brought you a little cup, which meant Mummy could pour milk into it for you to feed from. This saved you but it was hard work as after a little amount of milk you were full so Mummy would have to force you to eat more. We both hated this and Mummy used to cry. It also made mummy sad that she couldn't always feed you with your milk as with you not feeding there wasn't enough so mummy would have to give you formula.
Although I would make the most of having you out your crib and hold you for as long as I possibly could. 

I wanted to hold you and never let go. 
 I think you felt the same because you would cry when I put you back and then Mummy would cry. Mummy had to set a strict schedule feeding you every 3 hours and giving you at least 60mls for milk. It used to scare me because you would sometimes be sick because your little tummy couldn't take any more.

Finally the hard work paid off and your levels came down which meant you could come off the light. This meant that Mummy was able to dress you again and finally have her cuddle.

 That night we Face-Timed Daddy so he could see. This made him very happy and we both cried with joy. 
Daddy couldn't wait to hold you the next day and get his cuddle too.

After a few more days in hospital they said that you could come home. Mummy was so happy she could hardly believe it and couldn't stop crying. 
We had pictures taken as Mummy never wanted to forget this day and we bundled you up in your car seat to take you home.

You settled in quickly and it was like you knew it was where you should be.

The next day we got some very sad news that you needed to go back to hospital because your levels were high again and you needed to go back under the light. When we arrived mummy got very sad because your cord fell off marking a time that mummy felt had been taken away from her. A week of your life had passed and we didn't get the opportunity to enjoy you. This time we had to go to the children's ward and they placed you in an incubator to keep you warm. You had something called a biliblanket which was underneath you and an overhead light.

This made mummy very sad because she couldn't dress you in your pretty things and could only hold you to feed, which again you struggled to do being so sleepy. 

After two more days, on mummy's birthday at 8pm, to be exact, the doctors said you could come home again. Mummy was so frightened that they would change their mind or you would have to come back but thankfully you only came back for more blood tests. These tests continued until you were 5 months old, as you became very anaemic causing you to be very sleepy again. The doctors were worried you would need a blood transfusion but thankfully with mummy's hard work of continuing to try and feed you herself and give you your medicines, you didn't need it. The Doctors are so shocked and our little miracle beat all the odds. We are so proud of you and everything you have come through. You were meant to be sent to us. As mummy tells you she wished upon a star and twinkle twinkle here you are. My perfect little star and mummy's dreams rolled into one. 



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