Today is 33 weeks down... 7 to go... Last night, I read through some older blog entries and updated my "Pregnancy Calendar"... The time when it was "7 weeks down... 33 to go" seems like a lifetime ago. So much has changed in my body, my personal space, my life, my hormones... and my emotions.
Shock has been completely displaced by a supernatural urge to nurture and protect this little boy. Fear is still present, but daily being cast out by a more "perfect love." Anticipation and hope loom large, as does the feeling of grave responsibility. At times, the devastation of possibly (most likely) proving myself as inadequate as I feel to this task also appears.
As surely as the emotional landscape has changed, so has my body. I have gained a total of 11 pounds and truly "popped," removing all ability to hide that I am pregnant. Thankfully, all points north of the belly have stabilized after the initial burst they experienced by week 7 of pregnancy. As we pull into the home stretch, I am starting to look and feel (in every possible way) pregnant.
Which is how I met my new friends, Mr. Braxton and Mr. Hicks. It seems we get better acquainted each day!
I'm actually not sad that I'm experiencing the early contractions. I have educated myself well and know that these contractions are necessary to push little boy into position and to allow my body to do what must come next. Also, I like that I have the chance to "practice" walking and keeping mobile during periods of discomfort (although I know Braxton Hicks are NOTHING compared to what I can expect). In any case, it's an indication that the time is drawing down and every time Braxton and Hicks visit, I am reminded of how quickly I need to prepare... and this sense was only exasperated at yesterday's doctor visit.
Yesterday was my marathon doctor's visits. At 1:45, I had my non-stress test. The baby aces those every time and performs perfectly... maybe he won't inherit my performance anxiety? During the vital sign gathering ritual, I found out I lost half a pound (or wore lighter shoes... in any case, no weight gain over the past week), my blood pressure was 110/70 again, and my blood sugar readings were SPECTACULAR. Another day of excellent reports and feeling like an OBGYN overachiever!
Adding to my excitement was the fact that this appointment was scheduled on a bank holiday, which meant my father got to attend. I asked him to come so he could see the ultrasound and get to know his newest grandson a little early. During the ultrasound, the baby was measured and traced and evaluated and checked. Everything looks GREAT. Baby Boy's head is measuring well within normal limits (a source of anxiety for me and entertainment for Nathaniel's sisters who often comment on my husband's impressive head diameter). His femur length demonstrated normal development, quelling my late night concerns that he is a dwarf. The amount of amniotic fluid around the baby needs to be between 6 and 20 units... It is usually higher in women with gestational diabetes. I measure at 12 units. The heart was visible and active. His "man stuff" was, once again, incredibly visible. My placenta looked well developed and well placed. The baby's weighing in a 4 pounds, 6 ounces - 2 ounces shy of the 4 pounds, 8 ounces they typically expect. All in all, the baby looks healthy, within normal limits, and NOT AT ALL AFFECTED BY THE GESTATIONAL DIABETES. Which is why I was so disheartened by the doctor's next announcement.
If I have not given birth by week 39, they will induce me. I don't like this news for several reasons, but mostly because I have worked so hard to afford this baby every benefit I can. I don't want him to be forced into the world before he's ready to come... especially when my body is already participating in the activities which indicate preparations are beginning. My blood sugar readings are better than people who don't have to regulate on a regular basis, with A1C readings that don't even indicate there is something awry in my endocrinology. While I have resigned myself to participating in whatever procedures are MEDICALLY NECESSARY, I am not willing to have my little boy kicked out of his comfy hiding place because "best practice" is decided by lawyers trying to avoid malpractice lawsuits.
After the OBGYN, I went on to my endocrinologist. She, too, validated my valedictory status. We discussed the possible interventions after I give birth and decided I don't have to visit until that time, with extra support available to me, if needed before then. I spoke at length with her about what would be rational in terms of advocacy during and around birth. She supported me asking for no induction and absolutely abstaining from a C-Section, unless some other medical concern emerges. As I have my 2 non stress tests a week, but don't need to see my doctor until 35 weeks, I am going to continue gathering information for improving my odds through self advocacy. Hopefully, I'll make some progress and be able to communicate well when the time comes.
In other news, I met with my clinical director and quality assurance supervisor. We decided the maternity leave dates. I'll go on maternity leave in time for an April 5 induction (unless I can get that moved back) and have the entire month of April to let someone else tend to the mental health of Wake County. On May2, I'll be given small amounts of clients to contact via phone for 2 weeks. On May 16, I'll return to work in person. I'm really looking forward to the break!
So, we're getting closer... the time draws nigh... and the pressure is on. For now, I welcome Braxton Hicks and the progress they bring, while hoping they (not the legal-medical considerations) win out in determining our little boy's birthday.