"Not very much is known about the course of fibromyalgia during pregnancy ... In 1997, one of the few studies ever done on fibromyalgia and pregnancy was conducted in Norway. A small number of pregnant women were included in the study, some with fibromyalgia and some without. The study found that an overwhelming number of those pregnant while suffering from fibromyalgia reported a drastic increase in the severity of their symptoms. The third trimester was by far the most challenging during their pregnancy, with symptoms increasing in frequency." (from Pregnancy-Info.net)
When I first started on this pregnancy journey, I found precious little regarding how fibromyalgia would affect my pregnancy. (In contrast, I read a lot about Sjogren's Syndrome and pregnancy.) Because fibromyalgia remains a very hazy, little-understood illness, not much is known about fibromyalgia AND pregnancy.
Because there's little out there to discuss pregnancy and fibromyalgia, I will just share a little of my own experience, so that any other people experiencing the same will not feel alone.
Please note: I am not writing this as a list of complaints. If you don't have fibromyalgia or know anyone who has it, this might be the point where you check out my other posts or you find a far more interesting blog. (I mean, who wants to read medical stuff?) But I am writing this so that people who do have fibromyalgia or whose loved ones do can better understand what's going on.
HOW I'M REALLY FEELING
"There are few studies on fibromyalgia in pregnant women. However, a recent study at Temple University found that women with fibromyalgia had more symptoms of pain during pregnancy than women who did not have fibromyalgia." (from WebMD)
In the first few months of pregnancy, the symptoms were almost interchangeable with those of fibromylagia. The weariness, constipation, flu-like symptoms, etc., were always present---and so I could never tell the difference between the pregnancy symptoms or fibromyalgia.
But now I'm in the last trimester. Everything is different.
And I will confess that these last weeks have been extremely difficult. (There's an old theory that pregnancy will cause a remission in fibromyalgia. And if this is true for some people, God bless 'em. Alas, this theory is not true for me.)
The symptoms mentioned below (sensory overload, exhaustion, etc.) are typical for me in a fibromyalgic flare. And they usually trigger a Sjogren's Syndrome flare (these flares work in tandem in me). I deal with them fairly regularly. However, now in the last trimester, everything is more intensified than usual.
Sensory Overload: Having fibromyaglia is like having super spider senses that tingle, so I'm already hyperaware of all my senses and am easily overloaded. Now, to that, add a little one in my womb who is continually kicking, moving and stretching out my skin. The touch of my shirt against my womb hurts a lot. At home, I go around like Winnie the Pooh, my belly hanging out and my shirt too short. I won't wear pregnancy shirts because the touch of cloth hurts. And I live in pajama bottoms rather than maternity pants, for I can't bear the touch of, well, anything.
Heaviness: The usual weight of the baby during this trimester is hard to carry. But now, as someone who has fibromyalgia, I cannot stand without feeling all my nerve endings just scream. Twinges, movements, little aches, all of these are amplified now in this last trimester. It is extremely hard to endure some nights. Plus, with the baby lying transverse, the kid is kicking my cervix 24/7. I am very thankful for the fetal movements, all wonderfully positive signs, but it is truly exhausting. Not regular tiring like Normal Pregnant People. But it feels like with every kick and movement, I am being drained of energy. It's like having a fibromyalgia flare, but for a much longer time now.
Exhaustion: Because the pain and everything is virtually inescapable (I can't even sleep now, so I can't hide from it), I am completely tuckered out. I have been falling asleep at 3 a.m. these last few weeks and waking up at 7:30. As anyone with an autoimmune disease knows, you need rest. I don't think 4.5 hours are working for me.
Depression: If it weren't for my husband, a very supportive group of friends and prayer, I would be hiding under the sofa right now. The constant suffering of these last few weeks make it hard to stay cheerful and relaxed. The hormones racing through me don't help. However, it is by the grace of God that I have not sunk into a depression regarding my modified bed rest. I've had some dark days in the beginning, but they passed. I do worry and pray for those women who do not have a very strong community or understanding husband...
HOW I'M COPING
This would be a downer of a post if I didn't offer some comfort to other moms along the same path I am traveling. Here is how the journey has become bearable:
Prayer: This is everything. Mother Teresa once said: "Keep the joy of loving God in your heart and share this joy with all you meet especially your family. Be holy--–let us pray." In praying, I am lifting my soul to the Lord and am able to focus on the heavenly, rather than solely the physical. But it is in focusing on the heavenly that I can handle the physical.
Focusing on the Baby: The reason for all these discomforts and pains is because of a life growing within me. Something beautiful and positive is growing hidden now but to be seen soon! I pray for the baby, making the signs of the Cross over the womb and murmuring prayers. Being pregnant is truly a gift.
Keeping My Mind Occupied: If I were to just sit and stare, I'd go mad. By reading, editing, writing, even updating this blog of mine, I keep my mind away from the pain. It helps me to not be so horribly aware of everything ... or at least, it helps ignore it.
Keeping My Hands Occupied: Because I am on bed rest, I cannot do the exercises that might help me cope with fibromyalgia. But I can sew, write letters to loved ones, plan homeschooling activities, etc. If my hands are occupied, I am less likely to bite my nails to the quick from anxiety.
Surrounding Myself With Love: Thanks to technology, I can remain in touch with a good friend who is also
on pregnancy bed rest, chat with dear friends in our homeschooling group, etc. And I do not feel isolated. The problem, one of the biggest ones of having an illness, is the tendency to isolate one's self from loved ones. The reason is that one is so physically out of sorts that one does not feel like seeing anybody. The exhaustion and sensory overload goes beyond what a normal person feels. But thank goodness for technology. Our homeschool group's online forum, my Twitter account and private email allow me to still socialize with good friends---but without having to deal with the physical drain of a visit.
Carving Out Quiet Time: Because we homeschool and I work from home, our house is always full of people and noise. In speaking frankly and openly with my husband, I told him about my feeling overwhelmed by my senses and just overloaded. So, he makes sure that I have some quiet time each day. And on the days that it isn't possible, I put on my iPod to something very relaxing and soft, and I close my eyes and take a little quiet holiday for a bit. The children know that I need that time.
Understanding This Isn't Forever: 40 weeks might feel like forever. But it isn't. It's 40 weeks long.
And please know that I am also keeping other bed rest/pregnancy-and-sick moms in my prayers ...
~ V.