Only now do I know that most women with Cushing’s have difficulty becoming pregnant. I also know now that those that achieve pregnancy often miscarry. I definitely became pregnant with full blown Cushing’s and was in full blown Cushing’s for my entire pregnancy.
At the age of 36, with relatively little effort, I became pregnant in August 2007. Because of my age, I kept it under wraps for the first trimester, but I had to start adapting before that. Luckily I had already gotten permission to work three days a week. After only a few days of pregnancy I was exhausted for the entire nine months. I would work three days and sleep the majority of the other four.
Within two months I was very swollen around my middle. I had to leave my pants unbuttoned and had difficulty bending over. As soon as I formally announced my pregnancy at the end of 13 weeks, I transitioned to maternity clothes.
Throughout my pregnancy, I swelled more and more. My blood pressure was already high and just continued to rise. I had to wear very loose, flat shoes, and by the third trimester could only wear flip-flops.
I tested positive for gestational diabetes at the beginning of my third trimester. I had not been to the doctor for about three years before pregnancy and I suspect I already had diabetes or at least borderline diabetes before I was pregnant.
One of the odd things late in my pregnancy was that the baby was turned head down, but never moved down and started any contractions or dilation. My OB started warning me as my due date approached with no signs of change, that I would probably have to be induced. I have since learned that CRH is involved in setting off those final birth preparations, and cortisol suppresses CRH, so I wonder if that was the culprit.
At 10 days before my due date my water broke. I was not in labor nor went into labor. The water breaking actually dissolved the cervical plug, which is usually lost much earlier in pregnancies because there is usually at least a bit of dilation.
When I got to the hospital, I was given Pitocin to induce labor. I also tested positive for pre-eclampsia, so was given intravenous magnesium. With all of this, I wasn’t going to be allowed out of the bed, which put to an end my pain coping strategy of pacing, so I opted for an epidural. Between the magnesium and the epidural, my blood pressure dropped from the 170/100 level it had crept to, to a more normal level, but since the baby was accustomed to the high blood pressure, this put him into distress. I was given adrenaline twice during labor to raise my blood pressure.
I now understand how high cortisol caused all these issues with my pregnancy and birth. I now also understand how these high cortisol levels caused issues for my son before and after birth.
My baby had colic like none I’d heard of. Instead of having colic a few hours a day, there were only a few hours he didn’t have it. From noon to afternoon he was cranky, and increasingly disturbed until 11 or midnight. From then until 4 or 5 in the morning, he cried non-stop, with nothing consoling him. From 6 in the morning until noon, was the only part of the day my son was almost normal. I now suspect this cycle was created by my high levels of cortisol which were passed to him in breast milk. The morning when he felt his best was the time of day that cortisol is naturally higher anyway, so he could better cope.
My son has other continuing issues which I suspect are related to his cortisol soaked beginnings, which I may document in separate posts. But he is a wonderful boy, sweet, smart, outgoing and charming. He is my beautiful little miracle, a marvel that beat the odds.
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