Quick update!
Bud is probably (HOPEFULLY) coming out TOMORROW!
Long story short, my blood pressure is not going down, even with meds. So my obstetrician wants Bud out as soon as it's safe for her to come out. He's worried about the potential impact on my retinopathy. The amniocentesis tomorrow morning will determine if her lungs are developed enough for her to come out.
So I get the amnio at 9:30am, and then I'm supposed to stay at the hospital to wait for the results (3-4 hours). I'm also not supposed to eat anything after breakfast, in case we're good to go for the c-section. While I'm waiting for those results, I'm also supposed to get some bloodwork done regarding the high blood pressure (my understanding is that they're checking for pre-eclampsia, even though I don't have all the symptoms). The good news is, my blood pressure should go down within a few days of the baby coming out. So by 12:30 or 1:30 we should know the results of the amnio. My obstetrician is at the hospital all day tomorrow, so when he gets the results, he's going to meet with us. If the results are good, I go to get prepped for surgery and hopefully by 2:30 or 3:30 I'm having a c-section, and hopefully by 3:30 or 4:30 we have a brand new baby! (Of course, nothing goes as quickly as anticipated, so it could be longer.) If Bud's lungs are not sufficiently developed, then, according to my obstetrician, we "wait a few days"....which I'm guessing puts us at Monday or Tuesday. I REALLY hope it's tomorrow, though. I just want to get this over and done with and meet our baby!!!
So, it might be a while until my next post, but I'll update you all as soon as possible - with pictures!
Wish us luck! I know we're in good hands!
Thursday, May 21, 2009
Tuesday, May 19, 2009
35 Weeks & 4 Days
I figured a mid-week update was in order this week, given the current up-in-the-air state of affairs. :)
First of all, Martin and I got lots done this weekend in preparation for the baby - her room is almost completely ready now and all her clothes are washed (some of which may actually be too small when she comes out, the way it's going). So we're starting to feel quite ready.
Today was another fetal assessment. My obstetrician assumed they would do an amniocentesis at this one, but they didn't. They said that there was virtually no way Bud's lungs would be ready already - particuarly because often babies of diabetic mothers do take a little longer to mature - so there was no point in doing an amnio yet. Instead, we have one scheduled for Friday morning, at which point Bud will be 36 weeks. So no baby this week (barring the unforeseen), but perhaps next week.
The doctor at fetal assessment was actually quite happy with the results of the fetal assessment. Bud's still big (almost 8 lbs now), but she's steady at the 90th percentile - not still rising, so that's good. Everything else about her looks great - heart, lungs, liver, kidneys, brain, etc. She's not showing any signs of problems. In fact, her responsiveness to touch (she kicked the ultrasound machine numerous times), and the practice-breathing she's doing are very good signs of both physical and mental developement, so that's good to hear. We even saw her make sucking motions with her mouth! So there's definitely no cause for immediate concern, but we/they definitely want to keep an eye on her.
The resident doctor doing the fetal assessment said that Bud had moved since last week. She's still breech and her head is still in the same place, but instead of having her back along my right side, her back is now along my ribs and left side. How she has room to move around in there, I have no idea! That said, she also mentioned that I have a LOT of amniotic fluid in there, which is part of why I have gotten so big and uncomfortable, and also part of why I'm having so much swelling in my legs/feet - I guess my heavy belly puts a lot of pressure on the veins in my hips and doesn't let things flow around between my legs and my body the way they're supposed to, so it all gets stopped up in my legs. Fun fun.
So, for now we're still in this "wait-and-see" mode. I'll post an update after Friday's amnio.
Here are two pictures from today's F.A. They're both a nose & lips shot. Look at those lips!
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First of all, Martin and I got lots done this weekend in preparation for the baby - her room is almost completely ready now and all her clothes are washed (some of which may actually be too small when she comes out, the way it's going). So we're starting to feel quite ready.
Today was another fetal assessment. My obstetrician assumed they would do an amniocentesis at this one, but they didn't. They said that there was virtually no way Bud's lungs would be ready already - particuarly because often babies of diabetic mothers do take a little longer to mature - so there was no point in doing an amnio yet. Instead, we have one scheduled for Friday morning, at which point Bud will be 36 weeks. So no baby this week (barring the unforeseen), but perhaps next week.
The doctor at fetal assessment was actually quite happy with the results of the fetal assessment. Bud's still big (almost 8 lbs now), but she's steady at the 90th percentile - not still rising, so that's good. Everything else about her looks great - heart, lungs, liver, kidneys, brain, etc. She's not showing any signs of problems. In fact, her responsiveness to touch (she kicked the ultrasound machine numerous times), and the practice-breathing she's doing are very good signs of both physical and mental developement, so that's good to hear. We even saw her make sucking motions with her mouth! So there's definitely no cause for immediate concern, but we/they definitely want to keep an eye on her.
The resident doctor doing the fetal assessment said that Bud had moved since last week. She's still breech and her head is still in the same place, but instead of having her back along my right side, her back is now along my ribs and left side. How she has room to move around in there, I have no idea! That said, she also mentioned that I have a LOT of amniotic fluid in there, which is part of why I have gotten so big and uncomfortable, and also part of why I'm having so much swelling in my legs/feet - I guess my heavy belly puts a lot of pressure on the veins in my hips and doesn't let things flow around between my legs and my body the way they're supposed to, so it all gets stopped up in my legs. Fun fun.
So, for now we're still in this "wait-and-see" mode. I'll post an update after Friday's amnio.
Here are two pictures from today's F.A. They're both a nose & lips shot. Look at those lips!
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Saturday, May 16, 2009
35 Weeks & 1 Day
Ok blog-readers, this could be a long one. I had lots of appointments this week, and some fairly significant potential changes have resulted....
Monday:
Monday was another fetal assessment. Unfortunately Martin was unable to come to this one due to some stuff at work, but Bud's Grandma and Grandpa Dyck happened to be in Winnipeg that day and they were able to join me instead, which was very special for me and for them! We got to see her open and close her eyes again, and this time we even got to see a little bit of hair on her head! So cute! She rated very well on everything except her size. As you may recall, 6 weeks ago she was at the 40th percentile, 4 weeks ago she was 60th, 2 weeks ago she was still 60th, but this week she had jumped to 90th! She's 7 lbs already and suddenly growing very fast! This is quite common in babies of diabetic mothers with poor control of their bloodsugars, but since my control is really very good, this was a bit surprising. So we left it as a bit of a wait-and-see...see what my OB says, and see how much more she's grown by next week. (More on that later.) It's good to know, though, that she is otherwise VERY healthy and looking great!
Monday night our doula came over for a meeting and also brought her back-up doula. (Since our doula has 3 small children, she may not be able to be at the hospital for the whole time I need her, in which case she will call on her back-up.) We talked about the change in plans (i.e. to a c-section), and how she will be involved under the new circumstances.
Tuesday:
Tuesday's first appointment was my counsellor from the Youville Diabetes Centre. She gave me a recording of her reading a relaxation exercise (hypnotherapy) to help me relax for my c-section. (As some of you know, I'm a bit nervous about the idea of surgery.) I've listened to it a number of times already and it's really great! I just need to get it embedded in my brain before the c-section so that I can get into that relaxed state without the recording by then.
Tuesday's second appointment was the pre-op appointment at the hospital. It involved some physical checks and a lot of questions, but also gave us a LOT of information about the day of the c-section and the recovery days to follow. It actually made both of us feel a LOT better about the whole thing. I am now much more at ease about the thought of being cut open :)
Wednesday:
Wednesday was my appointment with my endocrinologist. She noted that my blood pressure is still too high. We talked about the frustrations of having my retinopathy resurface and the too-quickly-growing baby, and she encouraged me that I really am doing the best that I can, and that sometimes these things just happen anyway. It was good to hear her say that, because it's easy to feel that these complications are a result of something I'm doing wrong...and that's not the case. It's just the way the cookie's crumbling, unfortunately. (The downside is that it means there's not really anything I can do to change it....) We also talked about bloodsugar management during the pre-op fast and during the surgery itself, and about how my bloodsugar is going change significantly once the baby and the placenta are out.
Thursday:
Thursday's appointment was a massage. I can't complain about that one. ;) My lower back has been bothering me and the swelling in my feet/legs has been bothering me as well, so this was great! She was able to ease my sore muscles as well as get some of that fluid in my lower extremities moving around. I highly recommend pre-natal massage!! (Especially by Tracie at Ankyo Therapeutic Massage.....there's my plug for her!)
We had intended to go to the hospital's labour & delivery information session Thursday night as well (they hold these once a month), but opted out of that one. We had so many of our questions answered at the pre-op appointment, that we just felt it wasn't necessary and that we'd rather spend the evening at home relaxing.
Friday:
Yesterday was my obstetrician appointment. A couple of things came out of this.
First, my blood pressure is still too high and going up. (After this busy busy week, I'm not surprised!) So he gave me a prescription for baby-safe blood pressure meds. I had hoped to avoid those, but clearly it has become necessary. As an added incentive, I actually had another spot in my eye yesterday, likely indicating another small bleed in my retina. (This is not terribly surprising as the leaky blood vessels take a while after laser treatments to shrivel up.) I'm not overly surprised or concerned at this point, because I'm confident that the laser treatments I had in the last couple of weeks will deal with this in time, but it does make me quite anxious to get my blood pressure down. I started the pills today, so hopefully they make a difference.
Second, and more significantly, my doctor is tentatively planning on taking Bud out earlier than anticipated. He is concerned about the fast growth at this stage, as this type of growth in babies of diabetic mothers can sometimes lead to sudden unexplained intrauterine death. Not something we want to risk. He didn't seem worried that she was in imminent danger, but we definitely want to weigh the various risks and take her out as soon as doing so is less risky than leaving her in. What this means is that I will likely have an amniocentesis (i.e. a big long needle stuck into my belly to extract a sample of amniotic fluid) at my fetal assessment next Tuesday (the 19th) to determine if Bud's lungs are sufficiently developed. If they are, she comes out. If they aren't, we wait a few days and then she comes out. (I'm not sure if I'd need another amniocentesis first or not.) I will see my obstetrician either on Tuesday after the F.A./amnio or on Thursday and he will make the decision then. So, in theory I could be having my c-section as early as next Wednesday, but it sounds more likely that it would be Friday or later. By next Friday she'll be 36 weeks, at which point taking her out is very safe (as long as her lungs are okay), but she will likely need to stay in the NICU (Neo-Natal Intensive Care Unit) until she's full-term (i.e. 37 weeks), so we may end up coming home without her for a few days (well, nights - our days will be spent in the NICU with her). Obviously that's not what we had wanted, but obviously we want to do what is best (and safest) for her, so we will roll with the punches! It will probably make for some new challenges with bonding and breastfeeding, but at the end of the day we will be able to bring home a healthy baby girl - and THAT's what's important. :) If her lungs are fully developed, she will not be considered "premature", just "pre-term", and we are told that pre-term babies at this stage are just fine in terms of health and development, so it shouldn't have any lasting effects on her. She'll just need a bit more help and observation at the outset.
So...that's that. Now we wait and see what happens on Tuesday at the Fetal Assessment and the amniocentesis.
Martin and I have become very aware this week how lucky we are to have all of the fantastic medical support that we do. The appointments are definitely frequent and tiring, but we are so happy with the wonderful team of health professionals we have behind us. This includes our soon-to-be pediatrician, with whom I've already been in contact with, and with whom I'm already VERY impressed! We've often heard "Oh he/she is the best in the city!" about various of our doctors too, which makes us feel EVEN better! The three of us are in very good hands! In spite of these factors that are making a diabetic pregnancy a little complicated, we do feel very very lucky.
Also, after the initial "ohmygoodnesswemighthaveababynextweek" shock from yesterday, Martin and I are VERY excited about the possibility of meeting our little baby sooner than we thought. We can hardly wait!! (And since I'm at the get-her-out-of-me stage, I'm starting to daydream about having my body to myself again...well, mostly.) We whittled down our to-do list to only the must-do-before-she-comes items, and it's really very doable. We're hoping to have most things finished by the end of this weekend, in fact. So it looks like we'll be ready! (And I do use the term "ready" loosely, as I'm not sure if anyone is ever truly ready for this.)
In other news, I have been exhausted this week, but I guess that's not surprising given all those appointments! Also, I haven't been sleeping as well as my belly is just getting so heavy and I've been having a lot of Braxton-Hicks contractions at night which aren't painful but aren't really comfortable either. Plus, now that Bud's so big, anytime she moves around in there I REALLY feel it! (And she still moves around a lot!) On a kind of cute note, Bud seems to really like her daddy's voice. When he talks to her close-up, she moves around in response to his voice!
Well, I think that's about it. All that's left are Bud-facts and some more pictures.
First the Bud-facts:
- Bud doesn't have much room to roam now. She is very snug now.
- If she wasn't breech, Bud's head may drop down into my pelvis now (known as "engagement"), but since she's breech, that's not going to happen.
- Bud now weighs about 5.25 lbs / 2.4 kg (uh, not exactly - I'm thinking at least 7.5 lbs by now) and measures approximately 18" / 45cm from head to toe.
- Soon, as the wall of my uterus and my abdomen stretch thinner and let in more light, Bud will begin to develop daily activity cycles.
- Bud now has fingernails and fully developed kidneys. Her liver can process some waste products.
Now, a couple of pictures from the fetal assessment, and a few more pictures from the photo shoot with the very talented Michelle!
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And for those of you who have taken the time to read all the way to the end of this monstrous blog....I think we've decided on a name! But I'm not telling! :)
Monday:
Monday was another fetal assessment. Unfortunately Martin was unable to come to this one due to some stuff at work, but Bud's Grandma and Grandpa Dyck happened to be in Winnipeg that day and they were able to join me instead, which was very special for me and for them! We got to see her open and close her eyes again, and this time we even got to see a little bit of hair on her head! So cute! She rated very well on everything except her size. As you may recall, 6 weeks ago she was at the 40th percentile, 4 weeks ago she was 60th, 2 weeks ago she was still 60th, but this week she had jumped to 90th! She's 7 lbs already and suddenly growing very fast! This is quite common in babies of diabetic mothers with poor control of their bloodsugars, but since my control is really very good, this was a bit surprising. So we left it as a bit of a wait-and-see...see what my OB says, and see how much more she's grown by next week. (More on that later.) It's good to know, though, that she is otherwise VERY healthy and looking great!
Monday night our doula came over for a meeting and also brought her back-up doula. (Since our doula has 3 small children, she may not be able to be at the hospital for the whole time I need her, in which case she will call on her back-up.) We talked about the change in plans (i.e. to a c-section), and how she will be involved under the new circumstances.
Tuesday:
Tuesday's first appointment was my counsellor from the Youville Diabetes Centre. She gave me a recording of her reading a relaxation exercise (hypnotherapy) to help me relax for my c-section. (As some of you know, I'm a bit nervous about the idea of surgery.) I've listened to it a number of times already and it's really great! I just need to get it embedded in my brain before the c-section so that I can get into that relaxed state without the recording by then.
Tuesday's second appointment was the pre-op appointment at the hospital. It involved some physical checks and a lot of questions, but also gave us a LOT of information about the day of the c-section and the recovery days to follow. It actually made both of us feel a LOT better about the whole thing. I am now much more at ease about the thought of being cut open :)
Wednesday:
Wednesday was my appointment with my endocrinologist. She noted that my blood pressure is still too high. We talked about the frustrations of having my retinopathy resurface and the too-quickly-growing baby, and she encouraged me that I really am doing the best that I can, and that sometimes these things just happen anyway. It was good to hear her say that, because it's easy to feel that these complications are a result of something I'm doing wrong...and that's not the case. It's just the way the cookie's crumbling, unfortunately. (The downside is that it means there's not really anything I can do to change it....) We also talked about bloodsugar management during the pre-op fast and during the surgery itself, and about how my bloodsugar is going change significantly once the baby and the placenta are out.
Thursday:
Thursday's appointment was a massage. I can't complain about that one. ;) My lower back has been bothering me and the swelling in my feet/legs has been bothering me as well, so this was great! She was able to ease my sore muscles as well as get some of that fluid in my lower extremities moving around. I highly recommend pre-natal massage!! (Especially by Tracie at Ankyo Therapeutic Massage.....there's my plug for her!)
We had intended to go to the hospital's labour & delivery information session Thursday night as well (they hold these once a month), but opted out of that one. We had so many of our questions answered at the pre-op appointment, that we just felt it wasn't necessary and that we'd rather spend the evening at home relaxing.
Friday:
Yesterday was my obstetrician appointment. A couple of things came out of this.
First, my blood pressure is still too high and going up. (After this busy busy week, I'm not surprised!) So he gave me a prescription for baby-safe blood pressure meds. I had hoped to avoid those, but clearly it has become necessary. As an added incentive, I actually had another spot in my eye yesterday, likely indicating another small bleed in my retina. (This is not terribly surprising as the leaky blood vessels take a while after laser treatments to shrivel up.) I'm not overly surprised or concerned at this point, because I'm confident that the laser treatments I had in the last couple of weeks will deal with this in time, but it does make me quite anxious to get my blood pressure down. I started the pills today, so hopefully they make a difference.
Second, and more significantly, my doctor is tentatively planning on taking Bud out earlier than anticipated. He is concerned about the fast growth at this stage, as this type of growth in babies of diabetic mothers can sometimes lead to sudden unexplained intrauterine death. Not something we want to risk. He didn't seem worried that she was in imminent danger, but we definitely want to weigh the various risks and take her out as soon as doing so is less risky than leaving her in. What this means is that I will likely have an amniocentesis (i.e. a big long needle stuck into my belly to extract a sample of amniotic fluid) at my fetal assessment next Tuesday (the 19th) to determine if Bud's lungs are sufficiently developed. If they are, she comes out. If they aren't, we wait a few days and then she comes out. (I'm not sure if I'd need another amniocentesis first or not.) I will see my obstetrician either on Tuesday after the F.A./amnio or on Thursday and he will make the decision then. So, in theory I could be having my c-section as early as next Wednesday, but it sounds more likely that it would be Friday or later. By next Friday she'll be 36 weeks, at which point taking her out is very safe (as long as her lungs are okay), but she will likely need to stay in the NICU (Neo-Natal Intensive Care Unit) until she's full-term (i.e. 37 weeks), so we may end up coming home without her for a few days (well, nights - our days will be spent in the NICU with her). Obviously that's not what we had wanted, but obviously we want to do what is best (and safest) for her, so we will roll with the punches! It will probably make for some new challenges with bonding and breastfeeding, but at the end of the day we will be able to bring home a healthy baby girl - and THAT's what's important. :) If her lungs are fully developed, she will not be considered "premature", just "pre-term", and we are told that pre-term babies at this stage are just fine in terms of health and development, so it shouldn't have any lasting effects on her. She'll just need a bit more help and observation at the outset.
So...that's that. Now we wait and see what happens on Tuesday at the Fetal Assessment and the amniocentesis.
Martin and I have become very aware this week how lucky we are to have all of the fantastic medical support that we do. The appointments are definitely frequent and tiring, but we are so happy with the wonderful team of health professionals we have behind us. This includes our soon-to-be pediatrician, with whom I've already been in contact with, and with whom I'm already VERY impressed! We've often heard "Oh he/she is the best in the city!" about various of our doctors too, which makes us feel EVEN better! The three of us are in very good hands! In spite of these factors that are making a diabetic pregnancy a little complicated, we do feel very very lucky.
Also, after the initial "ohmygoodnesswemighthaveababynextweek" shock from yesterday, Martin and I are VERY excited about the possibility of meeting our little baby sooner than we thought. We can hardly wait!! (And since I'm at the get-her-out-of-me stage, I'm starting to daydream about having my body to myself again...well, mostly.) We whittled down our to-do list to only the must-do-before-she-comes items, and it's really very doable. We're hoping to have most things finished by the end of this weekend, in fact. So it looks like we'll be ready! (And I do use the term "ready" loosely, as I'm not sure if anyone is ever truly ready for this.)
In other news, I have been exhausted this week, but I guess that's not surprising given all those appointments! Also, I haven't been sleeping as well as my belly is just getting so heavy and I've been having a lot of Braxton-Hicks contractions at night which aren't painful but aren't really comfortable either. Plus, now that Bud's so big, anytime she moves around in there I REALLY feel it! (And she still moves around a lot!) On a kind of cute note, Bud seems to really like her daddy's voice. When he talks to her close-up, she moves around in response to his voice!
Well, I think that's about it. All that's left are Bud-facts and some more pictures.
First the Bud-facts:
- Bud doesn't have much room to roam now. She is very snug now.
- If she wasn't breech, Bud's head may drop down into my pelvis now (known as "engagement"), but since she's breech, that's not going to happen.
- Bud now weighs about 5.25 lbs / 2.4 kg (uh, not exactly - I'm thinking at least 7.5 lbs by now) and measures approximately 18" / 45cm from head to toe.
- Soon, as the wall of my uterus and my abdomen stretch thinner and let in more light, Bud will begin to develop daily activity cycles.
- Bud now has fingernails and fully developed kidneys. Her liver can process some waste products.
Now, a couple of pictures from the fetal assessment, and a few more pictures from the photo shoot with the very talented Michelle!
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And for those of you who have taken the time to read all the way to the end of this monstrous blog....I think we've decided on a name! But I'm not telling! :)
Monday, May 11, 2009
34 Weeks & 3 Days
Sorry I'm a bit late on this post.
So last week Tuesday was my last day of work. It was pretty weird to leave there, realizing that it would be over a year before I'm back. I was glad that I already had a pretty good idea that my doctor was going to recommend stopping work, because I spent a lot of time the previous week cleaning stuff up and passing my work off to others. I'm still trying to get the hang of this whole "relaxing" thing. Between my numerous appointments (8 this week) and various "baby projects" at home, I have to consciously make an effort to keep things at a reasonable pace and not overdo it. It looks like I may also have to be okay with leaving some of the baby projects until after Bud gets here. Oh well. Keeping relaxed and healthy is the most important thing.
I only had two appointments last week and both were on Thursday. Thursday morning I saw the obstetrician. My blood pressure wasn't as good as last time, but still nothing too scary. (I think my blood pressure now goes up when they check it just because I get nervous about what it will be...) He's still okay with leaving me off meds for now. I see him again this Friday. He gave us a tentative date for the c-section - June 1st (around noon)! He did say it may get pushed to the 2nd, though. He said I should expect to be in the hospital for about 3 days, so that would have me getting home on Thursday the 4th or Friday the 5th, I assume. He also quelled some of my fears about nausea during/after the c-section, saying they have some new drugs that apparently work VERY well to help manage nausea. This was one of my biggest concerns, because (as some of you may know) I'm a bit phobic about nausea/vomiting. There are a lot of aspects of the c-section that I'm still really not looking forward to, but I've been hearing so many encouraging stories from friends who have had them, so I'm starting to feel a lot better about it. And when it comes down to it, even if it's miserable, it's FAST! (The OB said about 35 min!)
The baby is still breech, but obviously this is a moot point - except for the fact that her growing head is really starting to push into my ribs and make it difficult for me to bend over even to put on my socks and shoes! Also, my belly is soooo tight - even the obstetric nurse at the OB's office was commenting on it. I've gained almost 40 lbs now, and very little of that is anywhere other than in my belly (maybe 10 lbs elsewhere, but not more). Given that the baby was 6 lbs at the last fetal assessment, that leaves almost 25 lbs - pretty much all of which is in my belly! Ugh! No wonder my back is sore and my feet are so swollen! I feel like a pin prick to my belly would pop me like a water balloon!
Anyway, the second appointment on Thursday was my second laser treatment for my left eye (i.e. the retinopathy). We didn't get any more of an assessment from the doctor, just the treatment. I got 1400 zaps this time and the ones near the end were VERY painful and left me with a terrible headache for a few hours afterwards. But it was the last set of treatments, so at least it's over now. I see the ophthalmologist again during the last week of May just to assess if there has been any further pregnancy-related damage to my retinas. This will help us in the future if/when we need to assess the risks to my eyes of having another baby. He did say, though, that there is still a lot of "room" to treat my eyes if things did go badly again in the future...but obviously that's not terribly desirable either. We'll just have to take things one step at a time.
On Saturday we hit the big Whyte Ridge Mothers Day Garage Sale. We didn't have anything specific in mind that we wanted, but we came away with some toys and some clothes (all in VERY good condition) for Bud. It was quite a success after walking around for an hour in barely-above-freezing temperatures (there was actually snow on the ground when we woke up)!
I'm attaching a few pictures today that were taken last weekend by my very talented friend Michelle. We did a whole "pregnant photo shoot" and I get to see the rest of the pictures tomorrow, so I may add more to next week's blog, but for this week I'm just putting in a few of my favourites.
But first, this week's Bud facts:
- Bud has fully developed lungs.
- If Bud were to be born at 35 weeks or beyond, she would have an excellent chance of being healthy and strong (although we still want her to bake for longer).
- Bud weighs more than 4.7 lbs / 2.2 kg (as we know, this is not accurate) and is 18" / over 45 cm from top to toe.
- Bud is filling out and getting rounder - she'll need her fat later to regulate her body temperature.
- Bud's hearing is almost fully developed. (I can attest to this as she seems to quite like hearing her daddy's voice. When he talks right up to my belly it nearly always makes her move around. She already listens to him - when he tells her to kick, she does! Hopefully she's as responsive and obedient when she's out!)
And now, here are the pictures!
So last week Tuesday was my last day of work. It was pretty weird to leave there, realizing that it would be over a year before I'm back. I was glad that I already had a pretty good idea that my doctor was going to recommend stopping work, because I spent a lot of time the previous week cleaning stuff up and passing my work off to others. I'm still trying to get the hang of this whole "relaxing" thing. Between my numerous appointments (8 this week) and various "baby projects" at home, I have to consciously make an effort to keep things at a reasonable pace and not overdo it. It looks like I may also have to be okay with leaving some of the baby projects until after Bud gets here. Oh well. Keeping relaxed and healthy is the most important thing.
I only had two appointments last week and both were on Thursday. Thursday morning I saw the obstetrician. My blood pressure wasn't as good as last time, but still nothing too scary. (I think my blood pressure now goes up when they check it just because I get nervous about what it will be...) He's still okay with leaving me off meds for now. I see him again this Friday. He gave us a tentative date for the c-section - June 1st (around noon)! He did say it may get pushed to the 2nd, though. He said I should expect to be in the hospital for about 3 days, so that would have me getting home on Thursday the 4th or Friday the 5th, I assume. He also quelled some of my fears about nausea during/after the c-section, saying they have some new drugs that apparently work VERY well to help manage nausea. This was one of my biggest concerns, because (as some of you may know) I'm a bit phobic about nausea/vomiting. There are a lot of aspects of the c-section that I'm still really not looking forward to, but I've been hearing so many encouraging stories from friends who have had them, so I'm starting to feel a lot better about it. And when it comes down to it, even if it's miserable, it's FAST! (The OB said about 35 min!)
The baby is still breech, but obviously this is a moot point - except for the fact that her growing head is really starting to push into my ribs and make it difficult for me to bend over even to put on my socks and shoes! Also, my belly is soooo tight - even the obstetric nurse at the OB's office was commenting on it. I've gained almost 40 lbs now, and very little of that is anywhere other than in my belly (maybe 10 lbs elsewhere, but not more). Given that the baby was 6 lbs at the last fetal assessment, that leaves almost 25 lbs - pretty much all of which is in my belly! Ugh! No wonder my back is sore and my feet are so swollen! I feel like a pin prick to my belly would pop me like a water balloon!
Anyway, the second appointment on Thursday was my second laser treatment for my left eye (i.e. the retinopathy). We didn't get any more of an assessment from the doctor, just the treatment. I got 1400 zaps this time and the ones near the end were VERY painful and left me with a terrible headache for a few hours afterwards. But it was the last set of treatments, so at least it's over now. I see the ophthalmologist again during the last week of May just to assess if there has been any further pregnancy-related damage to my retinas. This will help us in the future if/when we need to assess the risks to my eyes of having another baby. He did say, though, that there is still a lot of "room" to treat my eyes if things did go badly again in the future...but obviously that's not terribly desirable either. We'll just have to take things one step at a time.
On Saturday we hit the big Whyte Ridge Mothers Day Garage Sale. We didn't have anything specific in mind that we wanted, but we came away with some toys and some clothes (all in VERY good condition) for Bud. It was quite a success after walking around for an hour in barely-above-freezing temperatures (there was actually snow on the ground when we woke up)!
I'm attaching a few pictures today that were taken last weekend by my very talented friend Michelle. We did a whole "pregnant photo shoot" and I get to see the rest of the pictures tomorrow, so I may add more to next week's blog, but for this week I'm just putting in a few of my favourites.
But first, this week's Bud facts:
- Bud has fully developed lungs.
- If Bud were to be born at 35 weeks or beyond, she would have an excellent chance of being healthy and strong (although we still want her to bake for longer).
- Bud weighs more than 4.7 lbs / 2.2 kg (as we know, this is not accurate) and is 18" / over 45 cm from top to toe.
- Bud is filling out and getting rounder - she'll need her fat later to regulate her body temperature.
- Bud's hearing is almost fully developed. (I can attest to this as she seems to quite like hearing her daddy's voice. When he talks right up to my belly it nearly always makes her move around. She already listens to him - when he tells her to kick, she does! Hopefully she's as responsive and obedient when she's out!)
And now, here are the pictures!
Saturday, May 2, 2009
33 Weeks & 1 Day
My last post was the bad news from this week, so this will be the good news (and I guess some neutral news too).
On Monday we had another Fetal Assessment (right before the ophthalmologist appointment). Bud is still doing great! She's approximately 6 lbs now, which keeps her right around the 60th percentile like last time. She grew about 1.5 lbs in 2 weeks! It seems like a lot (and it is!), but it's normal for this stage of the pregnancy. She's still tracking perfectly on her growth chart and the Fetal Assessment nurse was very happy with everything she saw. She estimated that she'd be approximately 7.5 lbs by 38 weeks (i.e. when she'll be born). Bud is still breech, but that's kind of a moot point now that we know I'm having a c-section anyway. The nurse actually said that, since she's been in this position for weeks now, there's not a great chance that she'll turn. But that's okay. If she's comfortable like that she might as well stay there :) Her head is up under my ribs on my right side (I can very often feel it there), and her bum is on my bladder (which explains my frequent bathroom trips). She's facing my left side and kind of has her legs folded up. The most exciting thing was that we got to see her open and close her eyes! She was sleeping at first and when the nurse started to prod her she woke up and blinked a few times. :) It was really something else to be able to see that! She has the cutest, chubby cheeks...I've attached pictures below.
I'm starting to get a lot more comfortable with the idea of a c-section. It's not what I had hoped for, but there are definitely some advantages and since it's what's best for me and for the baby, I might as well focus on the positives (e.g. it's quick!!) And really, with the previous scenario (i.e. induction) there was always the possibility that we'd go through an uncomfortable induction that wouldn't work and still have to go for a c-section after a lot of stress, whereas now we can plan for one and know exactly what to expect...and we can definitely have MY obstetrician (who I love!) So I'm starting to get a lot less nervous and a lot more excited!! So soon we'll be able to meet our Bud and introduce her to all of you who are also waiting patiently...albeit some less patiently than others. ;) And I know I'll have a lot of help during the longer recovery period. Marty's able to take a couple of weeks off, and Grandma Rose will be staying with us for a while, and Grandma Dyck will be staying with us for a while...so we'll be well taken-care of. :) It'll just be frustrating that I won't be able to lift the baby carrier and/or take the stroller in/out of the car by myself for quite some time. But I'll just have to exercise patience :)
Yesterday we had an appointment with the OB. I explained the retinopathy situation to him and we talked about the c-section a bit. He actually pulled out his schedule, but it's pretty full so he said he'd have to move some things around and get back to me. He wants to do it between 37 and 38 weeks, barring further complications, which puts us in the week of June 1st - 5th. As soon as we have a solid date, I'll let you all know! We all want to keep her in there as long as possible, as long as it's not threatening her health or significantly threatening mine. We also talked about my bloodpressure (which, incidentally, was EXCELLENT when his nurse checked it...I guess my efforts to slow down and reduce stress this week have been working). He initially wanted to put me on meds (baby-safe), but then suggested that it would be better to first try quitting work...and then go on meds if that doesn't work. So...as of this coming Wednesday, I am on mat leave! I had been anticipating that he might tell me to quit work, so I had spent most of this week cleaning up. After Monday/Tuesday next week, everything should be in order, so I'm feeling alright about it. My boss had a slightly panicked look in his eyes when I told him, but he did also know it was a possibility, and really everyone at work (including him) has been very supportive. My doctor says I don't have to sit around with my feet up all day (i.e. I"m not on "bedrest"), and I can still putter about doing the things I want to do before the baby comes, but I am to take it slowly and easily and relax a lot and keep from doing anything stressful or strenuous. I think I can handle that. :)
So that's the update! Marty and I both feel like we're in a much more positive place now than we were on Monday. We've had a chance to process everything and have some good solutions on the go now, so we're optimistic. And if the rest of this pregnancy plays out well (i.e. with my eyes and my bp), maybe the risks of having another child in the future won't seem so great. Either way, our focus now is definitely on the exciting event that is only a month away!
In other non-medical news, we have been cleaning up around the house to get the baby's room all ready. Also, my mom and I went to the Welcome Wagon Baby Shower on Sunday. Bud's still moving around a lot, but it's more pushing now than kicking. I think she's going to one day just poke a fist out through my belly. The nurse at the OB's office said my belly is really tight (a comment I would have welcomed when WASN'T pregnant), but it sounds like that's normal based on her position so high up - she's really sticking out. I guess that's why I can feel her pushing so much too. It's neat, though, to be able to rub her little head or pat her little bum. :)
Anyway, here are this week's Bud Facts, followed by some pictures of our chubby-cheeked cherub. :)
- Bud now weighs about 4.2 lbs / 2 kg (which we know is not the case as the fetal assessment said 6 lbs - which is totally normal), and measures approximately 17" / 44cm from head to toe (no idea if this is accurate).
- Bud's skull is still quite pliable and not completely joined, in part so she can ease out of the birth canal (which, she's not going to do).
- The bones in the rest of Bud's body are hardening.
- Bud's skin is gradually becoming less red and wrinkled (hmm...I'll believe it when I see it - my brother was totally red and wrinkly when he came home from the hospital!)
The rest is about how Bud is supposed to be turning and moving into my pelvis, but as I mentioned, she's not doing that, so I'll skip those.
Here's the pics!
+-+32+Weeks.jpg)
+-+32+Weeks.jpg)
On Monday we had another Fetal Assessment (right before the ophthalmologist appointment). Bud is still doing great! She's approximately 6 lbs now, which keeps her right around the 60th percentile like last time. She grew about 1.5 lbs in 2 weeks! It seems like a lot (and it is!), but it's normal for this stage of the pregnancy. She's still tracking perfectly on her growth chart and the Fetal Assessment nurse was very happy with everything she saw. She estimated that she'd be approximately 7.5 lbs by 38 weeks (i.e. when she'll be born). Bud is still breech, but that's kind of a moot point now that we know I'm having a c-section anyway. The nurse actually said that, since she's been in this position for weeks now, there's not a great chance that she'll turn. But that's okay. If she's comfortable like that she might as well stay there :) Her head is up under my ribs on my right side (I can very often feel it there), and her bum is on my bladder (which explains my frequent bathroom trips). She's facing my left side and kind of has her legs folded up. The most exciting thing was that we got to see her open and close her eyes! She was sleeping at first and when the nurse started to prod her she woke up and blinked a few times. :) It was really something else to be able to see that! She has the cutest, chubby cheeks...I've attached pictures below.
I'm starting to get a lot more comfortable with the idea of a c-section. It's not what I had hoped for, but there are definitely some advantages and since it's what's best for me and for the baby, I might as well focus on the positives (e.g. it's quick!!) And really, with the previous scenario (i.e. induction) there was always the possibility that we'd go through an uncomfortable induction that wouldn't work and still have to go for a c-section after a lot of stress, whereas now we can plan for one and know exactly what to expect...and we can definitely have MY obstetrician (who I love!) So I'm starting to get a lot less nervous and a lot more excited!! So soon we'll be able to meet our Bud and introduce her to all of you who are also waiting patiently...albeit some less patiently than others. ;) And I know I'll have a lot of help during the longer recovery period. Marty's able to take a couple of weeks off, and Grandma Rose will be staying with us for a while, and Grandma Dyck will be staying with us for a while...so we'll be well taken-care of. :) It'll just be frustrating that I won't be able to lift the baby carrier and/or take the stroller in/out of the car by myself for quite some time. But I'll just have to exercise patience :)
Yesterday we had an appointment with the OB. I explained the retinopathy situation to him and we talked about the c-section a bit. He actually pulled out his schedule, but it's pretty full so he said he'd have to move some things around and get back to me. He wants to do it between 37 and 38 weeks, barring further complications, which puts us in the week of June 1st - 5th. As soon as we have a solid date, I'll let you all know! We all want to keep her in there as long as possible, as long as it's not threatening her health or significantly threatening mine. We also talked about my bloodpressure (which, incidentally, was EXCELLENT when his nurse checked it...I guess my efforts to slow down and reduce stress this week have been working). He initially wanted to put me on meds (baby-safe), but then suggested that it would be better to first try quitting work...and then go on meds if that doesn't work. So...as of this coming Wednesday, I am on mat leave! I had been anticipating that he might tell me to quit work, so I had spent most of this week cleaning up. After Monday/Tuesday next week, everything should be in order, so I'm feeling alright about it. My boss had a slightly panicked look in his eyes when I told him, but he did also know it was a possibility, and really everyone at work (including him) has been very supportive. My doctor says I don't have to sit around with my feet up all day (i.e. I"m not on "bedrest"), and I can still putter about doing the things I want to do before the baby comes, but I am to take it slowly and easily and relax a lot and keep from doing anything stressful or strenuous. I think I can handle that. :)
So that's the update! Marty and I both feel like we're in a much more positive place now than we were on Monday. We've had a chance to process everything and have some good solutions on the go now, so we're optimistic. And if the rest of this pregnancy plays out well (i.e. with my eyes and my bp), maybe the risks of having another child in the future won't seem so great. Either way, our focus now is definitely on the exciting event that is only a month away!
In other non-medical news, we have been cleaning up around the house to get the baby's room all ready. Also, my mom and I went to the Welcome Wagon Baby Shower on Sunday. Bud's still moving around a lot, but it's more pushing now than kicking. I think she's going to one day just poke a fist out through my belly. The nurse at the OB's office said my belly is really tight (a comment I would have welcomed when WASN'T pregnant), but it sounds like that's normal based on her position so high up - she's really sticking out. I guess that's why I can feel her pushing so much too. It's neat, though, to be able to rub her little head or pat her little bum. :)
Anyway, here are this week's Bud Facts, followed by some pictures of our chubby-cheeked cherub. :)
- Bud now weighs about 4.2 lbs / 2 kg (which we know is not the case as the fetal assessment said 6 lbs - which is totally normal), and measures approximately 17" / 44cm from head to toe (no idea if this is accurate).
- Bud's skull is still quite pliable and not completely joined, in part so she can ease out of the birth canal (which, she's not going to do).
- The bones in the rest of Bud's body are hardening.
- Bud's skin is gradually becoming less red and wrinkled (hmm...I'll believe it when I see it - my brother was totally red and wrinkly when he came home from the hospital!)
The rest is about how Bud is supposed to be turning and moving into my pelvis, but as I mentioned, she's not doing that, so I'll skip those.
Here's the pics!
+-+32+Weeks.jpg)
+-+32+Weeks.jpg)
Wednesday, April 29, 2009
32 Weeks & 5 Days - Some Bad News
Thankfully the bad news is NOT about the baby....but it is about the pregnancy. I'm thinking most of you blog-readers already know about this, but I wanted to update the blog for it anyway.
As some (most?) of you know, a couple of years ago I needed laser treatments in both eyes for proliferative diabetic retinopathy. Here's the quick explanation of proliferative diabetic retinopathy and the laser treatments - if you already know this, feel free to skip ahead:
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Basically, long-term and/or badly controlled diabetes can lead to problems with blood-flow to the retina. (Note that even people with well-controlled diabetes CAN experience retinopathy, although controlling your diabetes carefully does greatly reduce the chances of this happening. Also note that diabetes care methods are MUCH better now than they were in the 70s, 80s, and even 90s, so those of us diabetes-veterans have lived through a time when it was much more difficult to have tight diabetes control, and unfortunately do have a greater risk of complications like this as a result, even if we have much better control now. Anyway...) When the retina doesn't get adequate bloodflow, it doesn't get adequate oxygen. Because the retina needs oxygen, the brain sends signals to the retina to make new blood vessels to help move the oxygen around. This is called "proliferation" (hence "proliferative diabetic retinopathy"). Sounds good, buuuut....the new blood vessels are weak and fragile. They break easily, and when they do blood leaks into the retina and can cause vision damage. (Also note that not all diabetic retinopathy involves proliferation. In the early stages there may be blood vessel leakage, but no proliferation of blood vessels. I'm not going to go into that here, though.)
Retinopathy is not curable, but it is treatable to help slow (and hopefully stop) the process. Treatment involves getting numbing drops and/or gel squirted into your eye(s), having a glass lens pressed up against your eyeball, putting your face in a machine that makes you feel like you should be on A Clockwork Orange, and then getting a couple of thousand (yes, thousand) of laser zaps on your retina (called pan-retinal laser treatments). It's not as painful as it sounds like it could be, but it is painful, and it's VERY stressful. The light is very bright, and with every zap it takes your breath away and makes your other eye want to roll back in your head. It only lasts a few minutes, but it's pretty low down on most people's list of enjoyable ways to spend a few minutes. :P
The point of the treatment is to kill off a portion of the retina. It sounds counter-intuitive, but it basically allows the less-important parts of the retina to be sacrificed to save the more important central part of the eye (i.e. the macula), and hopefully protect your (my) vision by doing so. You end up with a grid-like pattern of scars on your retina (permanent), and typically a bit of damage to your peripheral vision and your night vision, but the end result is (or should be) that your retina then requires less oxygen, so your brain no longer sends signals to make new (fragile/leaky) blood vessels...reducing the risk of bleeding and vision loss.
And that's a quick retinopathy lesson. Now back to our regularly scheduled blog.
-------------------------------------------------------------------
So, this past Sunday, I noticed a new "spot" in my vision of my left eye. I got in to see my ophthalmologist on Monday and the news wasn't great. There is bleeding in my retina that my ophthalmologist says is due to more proliferation (i.e. new growth) of the blood vessels. He said the pregnancy (i.e. the growth hormones running rampant in my body) and the slightly elevated blood pressure that I've been having are likely both coming into play here. (I'm not too surprised re: the growth, given that my baby has grown 1.5lbs in the last 2 weeks according to the fetal assessment - a normal level of growth for this stage of pregnancy.) We knew this was a possibility during pregnancy because of the growth hormones, but we had hoped for the best. Everything was going so well before the pregnancy and during the first two trimesters - no sign of proliferation or bleeding since my last laser treatment in September 2007 - but I guess I just didn't quite make it through the third trimester.
So, I had more laser treatments on Monday - 1000 zaps in my left eye. It sucked. A lot. (I didn't get woozy at all, though, which as some of you know was a BIG problem for me last go-around.) I'm going back next week Thursday for more, but it should just be the two treatments, and he is just doing my left eye. He has a new machine since last time, though, that does multiple shots at once, so 1000 zaps is much faster now than it was before. I guess that's the silver lining on this cloud. It's still pretty miserable, though, and my eye was sore and a bit red/puffy for the next day or so.
So, I suppose the good news is that, since the ophthalmologist feels it's so directly related to the pregnancy, I don't necessarily have to expect that I will continue to have bleeding every few years for the rest of my life. The bad news is that this calls into question how wise it is for us to try for more children in the future as there's nothing to say it won't happen again with another one - maybe even worse next time. The doctor says not to worry about that now - it's not out-of-the-question. We realize that it will depend a lot on how the next 6 weeks go, how the years after this baby go (i.e. when I'm not pregnant anymore) and how my eyes are doing before we would be ready to try for another one. For now, though, we are focusing on the fact that we have one beautiful baby on the way and are VERY lucky for that. We refuse to let this setback get in the way of our joy and excitement about our little Bud!
Another development related to this is that my ophthomologist doesn't want me to push during labour, so I will be asking my OB for a c-section. The baby is still breech, though (and apparently unlikely to turn since she's been in this same position for so long now), so this is likely a moot point anyway.
I'm seeing my OB on Friday and will discuss the bloodpressure issue with him then. We'll have to talk about ways to reduce it....which may or may not involve leaving work early or figuring out some other work option between now and my scheduled mat leave.
So, it was a less-than-good day on Monday, and a frustrating experience - especially so close to the end of the pregnancy. I feel like we ALMOST had a perfectly successful diabetic pregnancy, but didn't quite make it. But this too shall pass.
Anyway, just wanted to keep you all updated. At the end of the week I'll post the Bud facts and the new fetal assessment pictures (she's got some chubby cheeks!)
Until then....
As some (most?) of you know, a couple of years ago I needed laser treatments in both eyes for proliferative diabetic retinopathy. Here's the quick explanation of proliferative diabetic retinopathy and the laser treatments - if you already know this, feel free to skip ahead:
---------------------------------------------------------------------
Basically, long-term and/or badly controlled diabetes can lead to problems with blood-flow to the retina. (Note that even people with well-controlled diabetes CAN experience retinopathy, although controlling your diabetes carefully does greatly reduce the chances of this happening. Also note that diabetes care methods are MUCH better now than they were in the 70s, 80s, and even 90s, so those of us diabetes-veterans have lived through a time when it was much more difficult to have tight diabetes control, and unfortunately do have a greater risk of complications like this as a result, even if we have much better control now. Anyway...) When the retina doesn't get adequate bloodflow, it doesn't get adequate oxygen. Because the retina needs oxygen, the brain sends signals to the retina to make new blood vessels to help move the oxygen around. This is called "proliferation" (hence "proliferative diabetic retinopathy"). Sounds good, buuuut....the new blood vessels are weak and fragile. They break easily, and when they do blood leaks into the retina and can cause vision damage. (Also note that not all diabetic retinopathy involves proliferation. In the early stages there may be blood vessel leakage, but no proliferation of blood vessels. I'm not going to go into that here, though.)
Retinopathy is not curable, but it is treatable to help slow (and hopefully stop) the process. Treatment involves getting numbing drops and/or gel squirted into your eye(s), having a glass lens pressed up against your eyeball, putting your face in a machine that makes you feel like you should be on A Clockwork Orange, and then getting a couple of thousand (yes, thousand) of laser zaps on your retina (called pan-retinal laser treatments). It's not as painful as it sounds like it could be, but it is painful, and it's VERY stressful. The light is very bright, and with every zap it takes your breath away and makes your other eye want to roll back in your head. It only lasts a few minutes, but it's pretty low down on most people's list of enjoyable ways to spend a few minutes. :P
The point of the treatment is to kill off a portion of the retina. It sounds counter-intuitive, but it basically allows the less-important parts of the retina to be sacrificed to save the more important central part of the eye (i.e. the macula), and hopefully protect your (my) vision by doing so. You end up with a grid-like pattern of scars on your retina (permanent), and typically a bit of damage to your peripheral vision and your night vision, but the end result is (or should be) that your retina then requires less oxygen, so your brain no longer sends signals to make new (fragile/leaky) blood vessels...reducing the risk of bleeding and vision loss.
And that's a quick retinopathy lesson. Now back to our regularly scheduled blog.
-------------------------------------------------------------------
So, this past Sunday, I noticed a new "spot" in my vision of my left eye. I got in to see my ophthalmologist on Monday and the news wasn't great. There is bleeding in my retina that my ophthalmologist says is due to more proliferation (i.e. new growth) of the blood vessels. He said the pregnancy (i.e. the growth hormones running rampant in my body) and the slightly elevated blood pressure that I've been having are likely both coming into play here. (I'm not too surprised re: the growth, given that my baby has grown 1.5lbs in the last 2 weeks according to the fetal assessment - a normal level of growth for this stage of pregnancy.) We knew this was a possibility during pregnancy because of the growth hormones, but we had hoped for the best. Everything was going so well before the pregnancy and during the first two trimesters - no sign of proliferation or bleeding since my last laser treatment in September 2007 - but I guess I just didn't quite make it through the third trimester.
So, I had more laser treatments on Monday - 1000 zaps in my left eye. It sucked. A lot. (I didn't get woozy at all, though, which as some of you know was a BIG problem for me last go-around.) I'm going back next week Thursday for more, but it should just be the two treatments, and he is just doing my left eye. He has a new machine since last time, though, that does multiple shots at once, so 1000 zaps is much faster now than it was before. I guess that's the silver lining on this cloud. It's still pretty miserable, though, and my eye was sore and a bit red/puffy for the next day or so.
So, I suppose the good news is that, since the ophthalmologist feels it's so directly related to the pregnancy, I don't necessarily have to expect that I will continue to have bleeding every few years for the rest of my life. The bad news is that this calls into question how wise it is for us to try for more children in the future as there's nothing to say it won't happen again with another one - maybe even worse next time. The doctor says not to worry about that now - it's not out-of-the-question. We realize that it will depend a lot on how the next 6 weeks go, how the years after this baby go (i.e. when I'm not pregnant anymore) and how my eyes are doing before we would be ready to try for another one. For now, though, we are focusing on the fact that we have one beautiful baby on the way and are VERY lucky for that. We refuse to let this setback get in the way of our joy and excitement about our little Bud!
Another development related to this is that my ophthomologist doesn't want me to push during labour, so I will be asking my OB for a c-section. The baby is still breech, though (and apparently unlikely to turn since she's been in this same position for so long now), so this is likely a moot point anyway.
I'm seeing my OB on Friday and will discuss the bloodpressure issue with him then. We'll have to talk about ways to reduce it....which may or may not involve leaving work early or figuring out some other work option between now and my scheduled mat leave.
So, it was a less-than-good day on Monday, and a frustrating experience - especially so close to the end of the pregnancy. I feel like we ALMOST had a perfectly successful diabetic pregnancy, but didn't quite make it. But this too shall pass.
Anyway, just wanted to keep you all updated. At the end of the week I'll post the Bud facts and the new fetal assessment pictures (she's got some chubby cheeks!)
Until then....
Saturday, April 25, 2009
32 Weeks & 1 Day
This week I have been really reminded that the "easy" trimester (i.e. T2) is over - most notably with respect to my swollen feet/ankles. We had our prenatal classes last weekend. They were a compressed version that was all evening Friday and all day Saturday. Sitting in a chair for that long without much walking around made my feet balloon up, and unfortunately they didn't want to go back down in size after the classes were over. (As an aside, the classes were actually quite good. We took them through the Youville Centre and found them quite interesting and informative.) I worked from home for a day this week to try to keep my feet up and give myself plenty of chances to walk around, but the thing that finally worked was compression socks. They're expensive and really hard to put on, but they work (and thankfully they just look like regular socks)!! My doctors still aren't concerned about the swelling and tell me it's normal, but since it's uncomfortable, I really needed to do something about it. In addition to the swelling, I've also had heartburn and indigestion. I had never had heartburn before pregnancy, but now that I have experienced it I have new respect for those who deal with it all the time (including Martin and some of his family). I also no longer sleep restfully as I'm up every two hours to pee. And then on top of all of this I feel big and clumsy. I think it's a bit of a cruel joke to make someone drop things all the time when she can't easily pick them up. :P Oh the joys of the third trimester.....just giving me more incentive to want to get her out in 6 weeks :) Wow....6 weeks....so soon!
Bud is still moving around a lot and seems like she's maybe shifted positions, but it's hard to tell. Apparently it's quite normal to have heartburn and indigestion with new baby positions, so I guess that falls right in line with how I've been feeling. It seems like she may be bum-up now, but I think still feet down (based on where I'm feeling movements), so it's hard to say. She definitely seems to mostly be on my right side, and she seems to think she's cramped in there because she very often is pushing outward on my belly, trying to make more room for herself. (Personally, I think she has plenty of room - more than my organs currently have, anyway.) We have another fetal assessment on Monday, so we'll find out exactly how she's positioned, and how much room she has, then.
I just had one doctor's appointment this week - with my endocrinologist. It went fine. We did a bit more problem-solving, but everything is still going well overall.
Other than that, there's nothing much new. I've started back into my prenatal yoga and find it more difficult than it was 5 weeks ago when I stopped doing it, but it still really does feel good. I managed to go for some longer walks this week too, which helped my feet feel better and gave me a good dose of fresh air. :)
And with that, here are this week's Bud-facts:
- Bud will gain 1/3 to 1/2 of her birth weight during the next 6 weeks, fattening up for survival outside the womb. Her skin is getting plumper and looking healthier.
- Bud now weighs approximately 3.75lbs/1.7kg (more, per fetal assessments), and is about 17"/42cm long from head to toe.
- Although her lungs won't be fully developed until just before birth, Bud is inhaling amniotic fluid to exercise her lungs and practice breathing.
- Some babies have a head of hair already, others have only a few wisps.
And, finally, here is a picture of me at 32 weeks, and another picture that begs the question "Should pregnant women wear orange?"
Bud is still moving around a lot and seems like she's maybe shifted positions, but it's hard to tell. Apparently it's quite normal to have heartburn and indigestion with new baby positions, so I guess that falls right in line with how I've been feeling. It seems like she may be bum-up now, but I think still feet down (based on where I'm feeling movements), so it's hard to say. She definitely seems to mostly be on my right side, and she seems to think she's cramped in there because she very often is pushing outward on my belly, trying to make more room for herself. (Personally, I think she has plenty of room - more than my organs currently have, anyway.) We have another fetal assessment on Monday, so we'll find out exactly how she's positioned, and how much room she has, then.
I just had one doctor's appointment this week - with my endocrinologist. It went fine. We did a bit more problem-solving, but everything is still going well overall.
Other than that, there's nothing much new. I've started back into my prenatal yoga and find it more difficult than it was 5 weeks ago when I stopped doing it, but it still really does feel good. I managed to go for some longer walks this week too, which helped my feet feel better and gave me a good dose of fresh air. :)
And with that, here are this week's Bud-facts:
- Bud will gain 1/3 to 1/2 of her birth weight during the next 6 weeks, fattening up for survival outside the womb. Her skin is getting plumper and looking healthier.
- Bud now weighs approximately 3.75lbs/1.7kg (more, per fetal assessments), and is about 17"/42cm long from head to toe.
- Although her lungs won't be fully developed until just before birth, Bud is inhaling amniotic fluid to exercise her lungs and practice breathing.
- Some babies have a head of hair already, others have only a few wisps.
And, finally, here is a picture of me at 32 weeks, and another picture that begs the question "Should pregnant women wear orange?"
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