by angieb (1192 Posts), Tue May 29, 2012 11:46 pm
If your liver enzymes are increasing then there is a possibility that you are heading towards HELLP syndrome which usually means delivery ASAP. When they realized my bloodwork was going bad with DD, they redid it every 6 hours. It sucked, but I am glad they were really vigilant. (I ended up having labs drawn every 6 hours for 3+ days until they finally started getting better, even after delivering on day 1.)
I would ask them to keep checking your bloodwork because labs CAN go bad quickly. My liver enzymes went from "slightly elevated" upon admission to doubling in 6 hours, meanwhile my platelets dropped by 100,000 but I honestly did not feel any worse and my blood pressure was normal. My labs continued getting worse from there. Not saying that yours will, or that the elevated liver enzymes are a sign of HELLP for sure, but it's certainly something they should be watching VERY VERY closely.
My guess is that if your labs get much worse, they will be delivering the baby pretty quickly regardless of how far along you are. They may be telling you "in a few days" while they are really thinking that you might be delivering tomorrow. I know in my case my OB had me transferred hospitals and was going to keep me there on bedrest for a few weeks, until an MFM was consulted (and she consulted a few more on her own), and they insisted I had to deliver immediately...even at 23 weeks. (She didn't misinform me on purpose or try to mislead me, she underestimated how bad it was and hadn't talked to an MFM yet.) At 33 weeks with everything you have going on, I am guessing they are not going to push their luck very much farther. 33 weekers do need NICU time but generally do extremely well, the survival odds are the same or very close to the same as a fullterm baby. If you aren't being followed by high risk doctors/maternal fetal medicine specialists/perinatalogists (all interchangable terms for the most part), then I would definitely want someone experienced in high risk pregnancies making the important decisions.
I don't think they will deliver you for swelling alone but it's possible that they may just be waiting for the second round of steroids to have time considering everything else. Definitely be sure to mention your concerns.
Thinking of you, please keep us updated as you are able.
Me (29) DH (30)
#1-Olivia Caetlyn-9-28-09-9-28-09, 23+2 wks, emergency classic c-section, class I HELLP, IUGR
#2- Lucas Oliver (rainbow baby)- April 2011, 36+2 wks, HELLP and pre-e free! (lovenox and LDA pregnancy)
#3-Matthew, late October 2012...mostly normal, 37 wks, (lovenox and LDA again)
My blog: http://www.butterflies-and-rainbows.blogspot.com/