Showing posts with label Short Cervix. Show all posts
Showing posts with label Short Cervix. Show all posts

Wednesday, September 21, 2011

31 Weeks


I have started to have a familiar pain on the right side of my rib cage (this baby is all on the right, just like Gerritt & Sophia were) from baby's kicks & stretches. He is growing big time, & I am constantly hungry. I can hardly believe that my abdomen has grown that much bigger. Just 2 months to go! In one respect, it seems like far away, but I know it will fly by quickly.
I've decided not to go back for my 2 recommended ultrasounds (one for cervical length check, another one to check on baby's growth). I just feel like they are completely unnecessary. My main concern was placenta previa, & now that it has resolved, I feel like the other 2 ultrasounds were advised mostly due to the US practice of defensive medicine (a doctor is afraid to miss something) & to generate more business ("your baby's belly is on the small side," common!). The perinatologist even asked me if I was gaining appropriate amount of weight. Believe me, it's not a problem now. I can tell how much my son has grown since it's so much harder for me to bend over & almost impossible to put on my shoes. I've already had 2 ultrasounds & would rather not expose my baby to more ultrasound waves (even though it's considered relatively safe, I am very conservative when it comes to unnecessary medical interventions).
Plus, based on all my research, I've come to a conclusion that cervical length is a poor predictor of likelihood of preterm labor in low-risk women (in the absence of other risk factors such as, for example, previous preterm birth, LEEP procedure (where part of cervix is removed due to precancerous cervical cells), bacterial vaginosis, diabetes, hypertension, increased stress, etc.). In low-risk women (such as myself) the sensitivity of cervical length measurement is decreased & the false positive rate is increased. One article even stated, "In order to improve the positive predictive value of a cervical length measurement in low-risk women, a length of 1.5 cm rather than 2.5 cm should be considered too short." So, there!
My sleep is more disturbed than ever. I toss & turn probably at least every 2 hours, often waking up Gerritt. He has been more grumpy in the mornings because of that, & even though I offered to move him to his own bed, he has been stubbornly refusing. I've started to wake up at 4 or 4:50 am & not being able to get back to sleep. In addition to having to empty my bladder more often, I also have uncomfortable pubic & bilateral hip pain. If I lay on my back, I feel like I am suffocating, but if I lay on my side for too long, my hip is killing me.
I am still trying to find an OB/GYN who would do my VBAC consult. The purpose of the consult is to be fully informed of the VBAC risks (such as uterine rupture) & also to establish care in case of a hospital transfer. Of course, I am already well informed, so this is just another formality. I was referred to a female doctor at Salish Women's Health a couple of weeks ago, but then had to cancel when she decided not to do VBAC consults any more. The whole situation is very political, & many OB/GYNs do not want to get involved with midwives, especially the ones doing HOME VBACs, which they consider unsafe. So I have a tentative VBAC consult appointment with a different OB/GYN at UW in October, but she wanted to see my medical records first.
I am still working. In Russia, Canada & most of Europe women have the option to start their maternity leave in their 8th month of pregnancy. Unfortunately, not so in the US. I will probably be working until the very end thanks to poor maternity welfare system in the US. If I start my maternity leave now, I will have almost nothing left for after the birth. Actually, it's not such a bad thing for me since my job at the clinic is mostly sedentary. My physically demanding work as a hospital bedside acute care nurse only happens once a week & sometimes, as per diem employee, I get cancelled. Also, I like to keep busy!
I still haven't met my doula Patti Ramos (she had to cancel several times due to her clients going into labor), & I have a meeting set up with her in a couple of weeks. I don't really care when we meet as long as she makes it for my birth.


Gerritt & Sophia riding a car at the mall


Sophia discovered a way to combine drinking apple juice & milk


Gerritt & Sophia's favorite game - making a "cake" & then taking turns jumping on top of it ("cake" is made of pillows & blankets)


Kids fascinated with the spinning dinosaur top


Gerritt displaying his favorite toys - the Transformers, the Thor hammer & the Spiderman helicopter


"I am a turtle, Mommy!" (Sophia after strapping a diaper changing pad to her back)

Sophia has started to climb out of her crib regularly. Often, when she wakes up in the morning, she'll get out & then stand by the bedroom door pulling on the door knob. I was pretty shocked finding her there for the 1st time, but now it has become routine. Sometimes she climbs out of the crib during the night, simply because she wants to snuggle with Daddy.
We've finally stopped buying formula for her. She still likes her bottle about twice a day, "I want my milky!", but we now give her only organic whole milk. She doesn't need the formula anymore from the nutritional standpoint (she is an excellent eater & has a mouthful of teeth). More importantly, I want to get formula & bottles out of sight so I don't give up too soon when I am struggling to learn breastfeeding my newborn son in a sleep-deprived, zombi-like state. I am actually not concerned about the delivery part as much as attempting breastfeeding again. Maybe the 3rd time will be the charm?

Tuesday, August 30, 2011

28 Weeks


Last weekend my husband & I had another date night, more exactly date morning. We dropped off the kids at Mrs. Anna's house around 9 am on Sunday & went to see the "Art in the Garden" exhibit at the Bellevue Botanical Gardens. I originally wanted to hike the Snoqualmie Falls, but with my hubby's encouragement (who thought I was way too ambitious for the 3rd trimester of pregnancy) changed our more physically demanding hike to a leisurely walk in the Gardens. It was a good decision since, unfortunately, I got tired fairly quickly. We finished the date with a lunch at the Cheesecake Factory.




Posing with some of the art exhibits

I am officially done with the "easy" 2nd trimester. Now the all too familiar back pain, sleepless nights & fatigue are back again. I am up to 4 pillows for sleeping. The hardest part is getting up twice a night to use the bathroom & then not being able to fall back asleep. I'll be up with the baby soon enough & it just doesn't seem fair not to get my rest now. The hot weather has been especially difficult causing considerable ankle swelling & more insomnia. I have to start seeing my midwife every 2 weeks now (I honestly wish I could skip such frequent visits, but those are the medical guidelines). It's harder to find clothes that fit well & I'll probably be wearing the same pair of pants & a couple of shirts for work for the rest of the pregnancy. My feet are definitely bigger & I have to wear shoes that are half a size or even one size larger than usual.
I am in the midst of doing all the immigration paperwork for my Mom to move to the US. We filed the paperwork in March & got approved at the end of July. If we move quickly enough, there is hope she'll make it here for the baby's birth. Most of the work now has to be done on her end & involves being current on immunizations, a detailed medical exam, undergoing a criminal background check (which takes about 1 month) & submitting a huge stack of documents (including the original, a copy & a translation).



Attempting to capture some of the outdoor's beauty

The baby must be gaining weight since I've been craving rich foods. I've recently switched from low-fat products to full-fat milk & cheese & even started to eat butter(!). Most of the traditional pregnancy-related websites & magazines encourage maintaining a low-fat diet, yet some alternative practitioners state a diet rich in full fat foods from healthy sources is beneficial (e.g., organic full-fat dairy, organic grass-fed meats, pastured eggs & coconut oil), especially in pregnancy. The growing baby's brain is composed mostly of cholesterol so it's essential to consume adequate amounts.
Homeopathy practitioner Joette Calabrese from HomeopathyWorks.net recently wrote about good fats vs. fake fats in her August newsletter, & about the commonly accepted notion of saturated fats & cholesterol causing heart disease being completely wrong. One of my favorite online health experts, Dr. Mercola, even wrote a recent article, "The Forbidden Food You Should Never Stop Eating," outlining all the benefits of saturated fats in one's diet.
Personally, my well being has much improved since adding some fat to my diet. I still remember when about 10 years ago I went to a naturopath complaining of lethargy, depression, angry mood swings & feeling cold often. I was following a strict low-fat diet & replaced all my dairy with soy products. My cholesterol levels came back BELOW normal. The moral of the story is that we all need cholesterol to maintain healthy hormone levels & produce sufficient serotonin to feel happy.


One of my favorite things to eat for lunch lately is bacon, avocado & tomato sandwich. Just spread Vegenaise on toasted slices of rustic whole grain bread. Top the bread with avocado, tomatoes, & crispy bacon slices (I really like Trader Joe's Uncured Apple Smoked Bacon).


Strawberries topped off with organic whipped cream make a perfect desert

I had my 28-week OB ultrasound & good news - my placenta moved away from the cervix! Green light for home birth! The baby is head down & growing well (over 2 lbs). Of course, I couldn't get off easy. My cervix is shorter than usual - 2.4 cm to be exact (the ideal length is between 3-4 cm). If it gets any shorter I'll be at higher risk for preterm delivery. Perinatologist & I did a thoroughly chart review & it turned out I had the same "problem" while pregnant with Sophia. My cervix length was 2.1 cm at 29 weeks & that didn't stop me from carrying her to 40 weeks 2 days.


The little guy's 3D image (this is the best ultrasonographer could do since he kept his hand in front of his face the whole time)


It looks like he inherited my long nose!

So more appointments for me - a repeat cervix check in 1 week & another complete OB ultrasound in 3 weeks (due to baby's abdomen diameter being in the 5th percentile, or smaller than expected). That's on top of my regular midwife appointments & an OB/GYN doctor consult for VBAC (vaginal birth after Cesarean) (another formality to be fully cleared for home birth). Did I already mention how much I don't like going to the doctors?


Sophia taking a nap with her favorite kitties (I couldn't help photographing her - she looks so precious when sleeping!)

Gerritt & I have discovered a few more favorite books at our library:

Bad Boys Get Cookie! by M. Palatini & H. Cole
Superman: The Story of the Man of Steel by Ralph Cosentino
Dora Saves the Snow Princess by Phoebe Beinstein
Don't Be Silly, Mrs. Millie! by Judy Cox
The Red Hen by Rebecca & Ed Emberley
That's What Leprechauns Do by Eve Bunting
Where's Kitty? (a lift-the-flap book) by Mercer Mayer

Additional Resources:

How Low Cholesterol Can Harm Your Health by Sayer Ji from GreenMedInfo.com

The Diet-Heart Myth: Cholesterol and Saturated Fat Are Not The Enemy by Chris Kresser, L.Ac