Monday, January 12, 2009

Gulp...only 41 days to go!

Week 35

Another checkup today. Not much news, with the exception that Dr. O has caved in the face of my excellent sugar numbers and conceded that there is just no way I have gestational diabetes and am very unlikely to get it at this stage of the game. Ha!

Downside: she still wants me to test once a week. But! Once a week! That's nothing. She also did not do anything crazy like order another ultrasound or anything, just measured me and listened to the heartbeat and chatted.

In ten days, I have my next appointment, where I have to have a Group B Strep test, which is apparently not entirely pleasant and is reminiscent of your annual Gyno visit. Not looking forward to that. And then after that, I'll be going in once a week until the baby. I can't believe how quickly time has gone by. It seems like just yesterday my pants were getting a little tight...and now I'm hiding a basketball under my shirt.

I am writing a birth plan, which Dr. O was very receptive to. She even gave me some suggestions as to what to include. After much research and discussion, Mr. F and I are very concerned about having a C-section, mostly because it happens very often unnecessarily. There are many, many instances where a woman is pushed into a C-sec for "failure to progress" when she has not been allowed very much time for pushing or progress - sometimes as little as 4 hours. The average labor is 14 hours (and I think this would be higher if women weren't herded into C-sections so quickly.) Often, doctors will make this decision because they just want to get the delivery over with - I don't have the source with me right now, but we read somewhere that a majority of C-secs happen between 4-5 pm, when the doctor wants to get home in time for dinner. Also, it happens a lot when you doctor has plans the next day, like if your doctor is leaving for vacation the next morning. It's definitely possible that the doctor's vacation plans and desire to get home sooner may factor into their decision making.

Anyway, Dr. O and I talked about it a bit and she reassured me that she (and the other docs at her practice) don't take the C-section lightly and respect our desire to avoid it. Of course, this came with all the blah blah caveats about doing what's necessary for a healthy baby at the end, so it may have just been a bunch of hoo-ha to placate me. Seeing as Mr. F and I have decided we don't want a bunch of people in the delivery room with us (meaning, nobody besides us and the medical staff), Mr. F knows he is my advocate and will be speaking up on my behalf if I don't or can't. I've been surprised at just how much knowledge he's absorbed through this whole process and I feel really good about how much we've discussed and agreed on about the way we want the delivery to go.

[Speaking of people in the delivery room - we haven't really talked to anyone much about who we are or are not having in the delivery room with us. I think if my mom was still alive, it'd be different - I know she'd want to be in there, at the very least. But we've really only had one person even ask about it and that was a month ago, and I just said we hadn't really decided. I don't want to hurt anybody's feelings, but I don't think it will be a problem. With a bunch of men on my side, I don't think we have to worry about them wanting to be there, and Mr. F's family have always been wonderful to me and I cannot even imagine any hurt feelings or contention about it. All any of our family wants is for us to be happy and have a healthy baby. (I have to say again that I have the best family-in-law, especially Mummy Fantastic, that anybody could ask for. I could write an essay on the awesomeness of my mother-in-law alone.)]

Dr. O did mention that one of the best ways to help avoid a C-section is to labor at home for as long as possible. She said specifically not to come in right away and to keep active at home and that we should just give them a call when things got going. This totally makes sense with all the research we've done. The more time you're in the hospital, the more opportunity you have for them to start wanting to monitor you and do all kinds of "helpful" testing that actually doesn't really help much at all, and in fact, can lead to further intervention due to false positives. Plus, they generally give you a 24-hour window from the time your water breaks before they start worrying about infection and section you. So if you don't go in right away, they can't start the clock on you and that gives you extra time to progress.

One thing that did concern me was that Dr. O said they don't like to let people go more than a week beyond the due date before they induce. I'd prefer they allow two weeks, but hopefully this is not a battle we will have to fight. (Please, please, OMG, please do not let this baby go two weeks postdates! Oy. I already feel huge and waddly enough.) For another bunch of reasons, induction is something else we really, really want to avoid, so you can bet when the time comes, I will be doing every trick I can think of to get this baby to get started on his own.

We have started our childbirth preparation classes - 3 hours every Wednesday night for 4 weeks. The first week they didn't tell us much we didn't already know, but we did learn that Peanut is in the OPTIMAL BIRTHING POSITION, otherwise known as Left Occiput Anterior. That means head down and feet kicking me on the right, basically. We also did some relaxation stuff that was nice, but mostly it was anatomy and getting to know the other students. And she talked alot about how fear causes tension which causes pain, so if we went into the process well-educated, we wouldn't be as scared, therefore, we'd relax easier, ultimately resulting in less pain. Which I am totally down with. She handed out a sheet with some affirmations on it, one of which was something ridiculously cheesy like "My cervix is like a flower, the petals gently opening to welcome my child," and which totally cracked Mr. F and I up, and so we've decided our relaxation affirmation is going to be "My cervix is like a leaf on the wind." Except I don't know how relaxing that will be if we're cracking up every time we say it. Anyway, hopefully next time will be more educational.

Oh! And guess what? I have found a remedy for the ANGRY LADYPARTS. The swimming pool! It is actually a remedy for all pregnancy-related ills, because when we went swimming last night, aside from the obvious basketball I was smuggling, I could not even tell I was pregnant once I got in the water. It was like magic. Nothing hurt, at all! I mostly floated around (or had Mr. F tow me) on a couple of those pool noodles for an hour while Mr. F did the actual swimming part. And Peanut, who has spent the last two weeks working a foot up under the right side of my ribcage and waggling it around, OW, even seemed to enjoy it because he calmed right down and hardly walloped me at all. It was heavenly! I forgot the ladyparts were hurting until I got out of the pool. That was kind of a downer, but it was lovely being in the water and remembering what it was like to feel so light. Needless to say, we will be making much more use of the pool in the next fortysomething days. Ahh.

No comments: