Friday, January 29, 2010
My child has internet friends!
Thursday, January 28, 2010
I love boring appointments!
I did gain a few more pounds since last week (oops!) and my blood pressure was still great (100/70). I had my fundal height measured for the first time today, and it was right on at 24 cm, so Baby Rhody is still a tiny bit ahead. We told the midwife that we had decided on a doula, and she made sure to add that to my file.
Because of a work commitment, I won't be able to come to my appointment in 4 weeks, so we scheduled my 1-hour glucose test for 3 weeks from now. Unfortunately, my midwife won't be in that week, so I'll be meeting with another midwife. In the end, I should probably meet more of the midwives, just in case, so this will probably be good.
Also, my midwife is going to bring me up to the high risk group again next week, and we'll see if I can't get back into the birthing center!
Wednesday, January 27, 2010
Waiting for paint - the nursery update
As I mentioned on the previous post, the walls had been painted with a super-textured paint at some point. Well, the people who did this weren't careful and painted that texture right up on the crown moldings as well! Also, the previous owners had wired the phone lines on the baseboards and then painted over it. The meant when we pulled the phone lines off, there was a rough paint ridge going around the room!
Well, thanks to Mr. Rhody, those issues have been resolved now. The wood has all been smoothed down, the cracks in the ceiling have been patched, and the skim coat the plasterers put on has been sanded. We're ready for paint!
Next weekend, we'll start priming and hopefully painting the ceiling! There still feels like there's so much to do, but I know we'll get there!
Monday, January 25, 2010
23 weeks!
23 weeks! I was just downloading this picture off of my camera, and, when I went to name it, "16 weeks" popped into my head. Um, no. We are way past that now!
OK, so it's not the best picture. This is under what I wore to work today. I looked cute, I swear. And there was no bra showing at work.
I am definitely getting bigger! And Baby Rhody is kicking up a storm! After lunch today, while Baby Rhody was just going wild, I started to wonder what he/she was doing in there. I have decided that mixed martial arts is the only reasonable answer.
I had a great weekend. Saturday, I went swimming, which felt GREAT. Remind me not to skip any more Saturday morning swimming sessions, please! And then on Sunday, I met up with a girl, Amy, from the bump, and we went to the mall. It was really fun to hang out with another expectant mom and go clothes shopping and having someone else to "squee" with me!
Anyway, Mr. Rhody and I are off to dinner at some alumni event. He begged me to come with him, and I don't really feel like cooking ... so away we go! Also, expect another ton of updates this week. I've got lots to say!
Friday, January 22, 2010
The Great Lovenox Debate continues
Anyway, the appointment today was just a normal check-up to see how my shots are going. I was very proud that my appointment showed my weight was good (up 7 pounds so far), blood pressure was great (100/60), and no swelling anywhere.
But the real part of the appointment was the discussion about the Lovenox and what to do about birth. I told the doctor I had been risked out of the birthing center, which surprised her, since she felt I was on such a low dose that I was a very low risk. We talked about all of our options; my preference would be to continue doing the Lovenox until I started having some progress, as it clears your system in 12-24 hours, but that won't get me back into the birthing center.
The more we talked, the more I realized that this mutation causes problems with placental adhesion and placental blood flow. From the research I've been reading, it's not so much a risk of clots as a risk of the placenta not getting enough blood--which is why the Lovenox is so important early on in pregnancy, when vascularization is taking place.
So when the doctor suggested we just stop the Lovenox at 36w, I was okay with that idea. I am pretty low risk anyway. The probability of something happening at that late stage is very low. Blood flow should be well established. And it would only be a month or so until giving birth.
The doctor said she would discuss this with the midwife, and I'll be following up with the midwife next week to see if we can't get me back into the birth center. I think this is a good plan.
Thursday, January 21, 2010
Baby Gear update!
Today's post will focus on what Baby Rhody now has to his/her name, to see where we are on baby preparation. We are still trying not to buy too much; even though I don't think there will be a shower, I do still think some people will want to buy us small gifts. However, I did have 2 20% off coupons for Babies R Us, and I didn't want them to go to waste! Also, we picked out our nursery furniture this weekend, which I am very excited about!
For the 20% off of anything coupon, I spent a lot of time thinking, and decided to get the breast pump--Medela Pump in Style. It's rather expensive, and not really something that people would go crazy to shop for. I got the one with the shoulder bag, since I thought that would be best for going back and forth to work.
- 4 cloth diapers (BumGenius, one-size)
- 4 washclothes
- 2 receiving blankets
- 1 large crocheted blanket
- one 4-foot elephant
- 2 small stuffed animals
- 1 outfit
- breast pump
- travel system
- crib, hutch, and dresser (on order)
- crib mattress (on order)
- changing pad (on order)
Wednesday, January 20, 2010
Wednesday nursery update!
The biggest issue that we needed to attack in this room were the walls. The previous owners painted with some textured paint that reminded me of stucco! Clearly this is not the sort of wall you'd think of for a nursery where you will have a little one running into walls!
Tuesday, January 19, 2010
Doula dilemma
I had asked my midwife for suggestions of doulas she knew and had worked with in the past. She gave me 3 names, 2 of which I found quickly on the DONA website. What was interesting is the two women we interviewed work very closely together, in fact they are back up for each other! There are a lot of similarities between them, but there were also some smaller differences. But first, the similarities:
- Both were approved by our dogs, who are an amazing judge of character ;)
- Both teach childbirth classes at the hospital where I will be delivering, so they are comfortable with the protocols and staff there
- Both couldn't say enough good things about my midwife and the practice where I am now (In fact, both are patients there!); similarly, both had the same reaction to my previous practice, along the lines of, "Oh. They are not very patient-friendly."
Now the differences
- Doula #1 had originally been trained as a CNA and became a doula through that route; Doula #2 is a Reiki practicioner and an herbalist, who became a doula through her former apocathery
- Doula #2 seemed to take a little longer to warm up, but, when she did, there were no issues and we liked her a lot
- Doula #1's fees include 2 more in-person visits--she suggested coming to my appointments with me--birth (obviously), one postpartum visit, and unlimited phone and email support; Doula #2 didn't have a set schedule, but seemed she was always open to whatever we needed
- We talked with both doulas about laboring at home for as long as possible; Doula #1 seemed more talkative about her ideas on how to spend time and when to get to the hospital; Doula #2 was open to the same ideas, but did not have any particular action plan in mind
- We would be Doula #1's first patients since her maternity leave; her son is currently 4 months old
- Doula #1 is almost 20% cheaper than Doula #2
So little reasons, but, because of these, we think we're going with Doula #1. I haven't called her yet because I'm having a bit of fear of commitment, but we will soon! It honestly was a very difficult decision, and I think we'd be happy with either one because they have different strengths. When it came down to it, I said to myself, "Who would I feel more comfortable with, naked and vulnerable, on a purely emotional level?" And that cemented the decision for me. Sometimes, you've just got to go with your gut.
Monday, January 18, 2010
22 weeks!
I am still feeling great. I really don't want the second trimester to end. I still have my energy, appetite, and I'm trying to get as much as possible done before that ends!
Emotionally, I had a bit of a rocky week. Once Christmas and New Year's were over, all of a sudden, it seemed like everyone was talking about baby showers except for the people around me. I should say that my mother started talking about a shower for me around 12w with my first pregnancy, and I told her not to bother when I heard her plans--in NJ (4 hours away) at my brother's and with just family that I never see or talk to anyway. When I told her what I really wanted was just a small thing in RI (you know, where I've lived for 4 years) with just close friends, she scoffed and told me that wasn't right because, "I bought gifts for all of their kids." Between her attitude and all of the drama surrounding my wedding shower (constant updates on my "surprise" shower about how much trouble it was causing her, who wasn't coming, etc.), I told her not to bother. Even though it was sort of my decision (and combined with the fact that my family declined to come for Easter because "it's too far"), I still was getting a bit sad about it this past week, but I think I've worked through it.
I have realized that I am so bad at updating this blog. Part of it is that most of the interesting things happen on weekends, so I end up postponing my updated until Monday. By Monday, I have so much to say that it all gets lost! So starting this week, I'm going to try to have a schedule. Here are the posts I'm commiting to for this coming week!
- Monday - weekly milestones, physical changes, emotional state of mind
- Tuesday - Special topics - this week, Doula update!
- Wednesday - Nursery update - expect weekly pictures
- Thursday - Gear update - this will normally happen on Fridays, but I have an appointment this Friday that will need it's own update!
- Friday - OB medicine appointment update
There's a lot going on, and I want to make sure I'm recording it for future reference.
Monday, January 11, 2010
21 weeks - doula, nursery updates, and diapers!
I have recently been having a very bittersweet thought; the sort of thought that people might not understand if they haven't been through a loss. I have been thinking that, if we did lose Baby Rhody now, this would be labeled as a stillbirth and not a miscarriage. That would mean to the outside world that this baby would count. I wouldn't have to hear how common miscarriage is or how there was probably something wrong with the baby or whatever stupid things that people say. I know it's a moot point since we will be keeping this baby, but it's good to know that, just in case.
As for the doula update, would you believe that both doulas that we were to visit this week came down sick and had to reschedule? Hopefully, we'll have our meetings this week. We also have our first pediatrician interview this week. Wow.
The nursery is now empty. Well, we still have a few more things to sell, but it's essentially empty. We went to the Salvation Army this weekend and dropped off loads of old books and CDs and other small things. We're getting our 2010 tax deductions out of the way early! The plan for the next few weekends is to start sanding and getting the room ready for painting. Yay for progress!
Also, this weekend, we made a trip out to a local cloth diaper swap, where we picked up 4 one-size cloth diapers. It was really great to see all of the diapers in person that I had just read about. Mr. Rhody was very impressed with them as well, and we left there very excited! So far, our child owns 4 cloth diapers, 4 washclothes, 2 blankets, one 4-foot elephant, 2 small stuffed animals, and one outfit. Hey, it's a start!
Wednesday, January 6, 2010
And things were going so well ...
My midwife informed me that I was discussed at their last high-risk meeting, and, over her recommendations and the recommendations of my high-risk / OB Medicine specialist, the doctors have determined that I am to be risked out of the alternative birthing center, due to the fact that I am on Lovenox.
Overall, this is not a huge deal. In theory, I can still have an intervention-free birth in a regular hospital room. The rooms, of course, aren't as nice. I will have a hospital bed instead of a queen-sized bed. I won't have my own tub to relax in, but I'll have a shared tub (with a 30-minute limit). But what's important is that I can still have a healthy baby, and there are a million reasons why I could have been risked out.
But what bothers me, what has had me tossing and turning all night, is that these doctors overruled the two caregivers that I've actually spoken to. Not only that, but they started attacking why I'm on the Lovenox anyway, when that's not "necessary" for the prothrombin mutation. What kills me is that I was told I was risked out because I am a bleeding risk; this is laughable because a simple physical exam would show them I am not a bleeding risk. If anything, I am still a clotting risk, which is part of why I want a natural birth. I need to stay up and moving around if I want to have the least risk to myself and the baby.
Irony of ironies, there is an article that just came out in the hemotology journal Blood Coagulation Fibrinolysis that says the prothrombin mutation is much more deleterious than previously thought, and is, in fact, worse than the Factor V Leiden mutation, which is the one that more doctors recognize. But, hey, no one asked me.
So I'm not giving up the fight, but I'm also working on Plan B. When I meet with my high-risk doctor again, I am planning to go over the birth plan with her. Originally, I had wanted to stay on the Lovenox until the end because I don't plan on having an epidural, but my midwife is concerned that if the baby was in distress and I needed an emergency C-section, that would become a problem. So we'll see that the high-risk doctor says.
Also, I've stepped up calling back those doulas. If I already have doctors overruling my primary providers, if I'm going to be put in a position where I'm more likely to have interventions pushed on me, I need someone who knows my situation and can be my advocate. I have one coming over on Friday and one on Sunday. I guess I'd better get started on cleaning the house!
It's never simple, is it? Why can't I be one of those 80-85% of women who get pregnant and have a baby with no complications? I keep hoping they will have this mutation stuff figured out by the time we are ready to TTC #2, but I'm not holding my breath.
Monday, January 4, 2010
Halfway!
I have a lot to talk about today, but I'm going to focus on the positives, since, at the beginning of my pregnancy, I promised myself that these weekly mini-milestone posts would be positive.
So, Mr. Rhody and I registered over this past week. That was fun. We went to Babies R Us because I wanted to start the registry in the store--then I went home and changed everything! I liked being able to handle things though to decide what we wanted. Most of the stuff I changed was just to different patterns of the same things.
We had Christmas with my family this past weekend. My mother and my sister-in-law both bought cute baby things, perfectly in keeping with our theme (jungle animals). We got little outfits and washclothes and bibs and stuffed animals, all very cute!
At my appointment last week, my midwife confirmed that everything about the baby was perfect at my anatomy scan. We asked her for pediatrician recommendations, and she gave us a short list. Mr. Rhody then asked his co-worker, who gave us almost the exact same list! At least we have a consensus. :) I need to start calling and setting up appointments. I also emailed 2 doulas last week. The cost is a little steep, but I'm still interested. I need to call them to follow-up so I can choose one.
I announced on Facebook this past week. I originally wasn't going to, but I realized I was very bad at telling people. I can't seem to get the word "pregnant" or "expecting" past my lips--those words are just too loaded to me and remind me of my losses. So, I did something I may have previously maligned. In my defense, I couldn't even seem to type the words, so humor is my armor. What did I do? I posted an ultrasound picture as my profile picture with the comment, "I can never make heads or tails of these things." It felt good it get it out of there.
Pregnancy around 20w is weird. I feel so good these days that I forget I am even pregnant. It will hit me at an odd moment, and I'll be surprised that I've forgotten. Then I'll mentally check to make sure I haven't eaten or done something I shouldn't have, lol. Yup, I'm pretty much insane.