Now that Nora’s 19 months old, I’ve been getting variations on this question a lot.
The answer: not anytime soon. Of course, unexpected blessings do occur and we will take that into stride if it happens. We are on the fence about expanding our family. The easy answer is that it’s mostly financial. We really can’t afford another baby right now.
The complicated and longer answer is that, for now, we don’t want to. I am personally open to one (and only one) more baby, but know darn well that we’re not ready right now. Nora is turning into a lovely toddler, but she’s still a lot of work. Dealing with a newborn was hard enough without having another child to raise and I genuinely admire the millions of parents that do it with multiple kids. Having lots of kids is right for those families, but it’s not right for us. I’d like to enjoy another couple of years of uninterrupted sleep before we add another baby to our family.
And honestly, I’m not sure we’re ready to face another pregnancy. Most of you know that I battled Hyperemesis Gravidarum (aka HG) for the first 23ish weeks of my pregnancy with Nora. HG caused me to be the sickest I’ve ever been in my life. It’s a debilitating disease that quite literally turned me into a helpless person. There were days I couldn’t get out of bed for the nausea and vomiting. I vomited 20-30 times a day without medication (2-5 times a day with). I lost 17 lbs and I’m not a skinny girl. I missed a lot of work and we had no help with the day-to-day tasks. I couldn’t do any housework because of the constant nausea and physical weakness. We couldn’t afford a maid and there was no place for someone to stay who could help us.
Besides the physical trauma, there was the emotional and mental trauma. HG was very isolating and lonely because I spent a lot time by myself while Paul was at work. I was too sick to go out and see friends and socialize. There was a very brief time I really thought I was dying and was terrified I was going to lose the baby (which sometimes happens with HG pregnancies, but not often). Although HG maternal deaths are rare, they do occur. I was scared that the baby and I were both going to die. I was scared to be left alone when I was feeling really bad and I would beg Paul to stay home with me in case I collapsed. I’ve never said this before, but on my darkest days I simultaneously hated and loved the baby at the same time. I instantly felt guilty for hating her and I knew HG wasn’t her fault, but it was still there. I was so sick at one point that I started hoping I would miscarry but then immediately felt terribly guilty and I cried all day because I wanted Nora so much, but hated with a passion what HG was doing to me. I suppose you won’t really understand unless you’ve been there. I bottled all that up for so long and it’s only recently that I told Paul about it. I can’t even begin to imagine the emotional trauma Paul was going through, but I do remember him being angry a lot because there was NOTHING he could do to stop the disease. Fortunately, I was one of the lucky moms whose HG disappeared in the 2nd trimester (some poor mommies have it all 9 months!). Believe it or not, I had “moderate” HG. The rest of my pregnancy was great with no other problems.
As I’m sure you can imagine, I’m not exactly eager to go through that again. According to research (of which there isn’t much…HG has only been recognized as a real medical condition for about 15 years), I have a 20%-50% chance of getting it with subsequent pregnancies. That means 1 of 3 scenarios:
1. I won’t have it.
2. I will have it and it will be as bad as last time.
3. I will have it and it will be worse, possibly meaning IV therapy and feeding tubes and bed rest and an angry insurance company and no relief until delivery.
It’s Scenario #3 that I’m the most scared of. I’d love to have #1 happen. I can handle #2 if it does because I’ve been there. The problem is that we really won’t know if #3 will happen until I actually get pregnant. There is some hope, though. There’s been some anectodal evidence that you can prepare for a possible HG pregnancy and significantly decrease the symptoms to tolerable or manageable levels. Several mommies who’ve been through lots of combo HG and non-HG pregnancies have reported better pregnancies by taking preventative steps. If we decide to have another baby, I have a battle plan in place to combat this illness and try to prevent Scenario #3 from happening and get #2 under control.
I won’t go into details, but the biggest difference seems to be getting treatment ASAP as soon as you know you’re pregnant. That means going on Zofran or another anti-nausea drugs by 6 weeks and/or the first sign of nausea and sickeness. I didn’t start taking Zofran until I was 10 weeks pregnant and after I was extremely dehydrated. I started feeling nauseous around 6 weeks. I can’t help but wonder if my HG wouldn’t have been as bad if I’d gotten treatment earlier. So, I plan on getting my hands on Zofran as soon as we know and having it as a stand-by.
We’re also better prepared because we know what to expect. Hyperemesis Research (HelpHER) is full of checklists and ways to plan (BTW…the forum is a godsend of information and support for HG sufferers and survivors and their families/friends). We’re in a better place now. We have a place for someone to stay if HG rears its ugly head again and we need help. Although I plan on having a midwife and trying for another homebirth, I also want to have an OB on board to help manage my HG or if I’m no longer a good candidate for homebirth.
I’m also losing weight (not just for pregnancy, but because I need to). Several moms have reported that getting into shape and eating healthier helped reduce HG significantly and it makes sense. Researchers suspect one of the main causes of HG could be the body’s intolerance of high levels of estrogen that the body produces during pregnancy. Estrogen hangs around in fat. If you have a lot of fat, you have a lot of extra estrogen. Less fat=less estrogen, which is maybe why those women say they had better pregnancies after they lost weight. That doesn’t mean that all HG moms are overweight. Not at all. Many of them are normal weight when HG strikes. HG can affect anyone. But it seems that for the ones that are overweight/obese, losing weight helps in subsequent pregnancies. I wasn’t exactly in great shape when I got preggo with Nora. I was about 220 pounds and led a pretty sedentary lifestyle. I’m really trying to change that for a variety of reasons. I have over ten reasons for losing weight, but one of them is that it might help prevent or lesson HG and that’s a definite motivator!
HG worries/avoidances aside, I’m also well-aware that I’m not exactly a spring chicken. I’m 33 and the biological clock isn’t going to be ticking for much longer. I don’t want to have a baby who will be graduating from high school when I’m old enough to collect social security. I’m not going to be one of those moms who has a last-hurrah at 42 and wants a newborn in the house (Nora would be 11…bleh!). After 35, you’re unfortunately considered an Old Lady in the baby-birthing business. Not that it really bothers me.
I can reasonably say that IF, IF we have another baby, it won’t be for at least another 2 years because I need time to get my body ready and our lives in order before we welcome another Little Leonard.
And Nora potty-trained.