Friday, August 2, 2013

The last trimester begins

This week I've ticked over to 28-weeks pregnant and officially into the last trimester. Entering the last trimester I've found things getting a little more about the business end having a baby - which makes a lot of sense I guess.

This week I've had a pre-admission interview with the private hospital we are having the baby at and I'm sorry to report it was a dead set downer.

Making it to this pregnant is still amazing to me.  And for the past few weeks I've really enjoyed being pregnant and started believing I will have a baby soon. I do still sometimes catch myself, and think 'don't count your baby before it's born' - but then I feel the little munchkin kicking away and I'm back to thinking about the much more likely scenario of having a real small person of our own soon.

The telephone pre-admission call didn't start well. I'd missed my initial appointment, so this time I was on the ball waiting for the call, that didn't come. I followed up after half an hour and soon enough I got a call from a midwife. After going through the basics I hit the wonderful question regarding what number pregnancy this is, whether I'd had any miscarriages and terminations. The joy of explaining this is my sixth pregnancy and we've had no children. Then having to remember every lost pregnancy and every hospital the procedures were done in. Trying to explain the heterotopic pregnancy. It was bloody hard - and confusing. She was rushing ahead, getting the details wrong. In the end I was so flustered I couldn't even remember when one of the miscarriages happened. After we went through this history she then asked whether this pregnancy was naturally conceived. Uhmmm, no, it was IVF - did you not just take down my left fallopian tube and then my right fallopian tube were removed due to ectopic pregnancies?

For the past weeks I'd put thoughts about the losses behind and was just enjoying this pregnancy, so all that was a bummer. The midwife then asked about gestational diabetes. I'd just done the test on the weekend and my obstetrician had confirmed that I wasn't diagnosed with gestational diabetes. Yay. He did mention that my numbers were on the high side of normal, so he would keep track of the measurements  of baby just to make sure everything was okay on that front. So I tell the midwife I'd been tested and it came back negative. She looked up my results and then proceeded to lecture me on my numbers being high and that I didn't want to get gestational diabetes. I told her my ob said he'd keep an eye on the baby's measurements. She continued telling me I should be watching what I eat and only eating low GI. If I get gestational diabetes the likelihood of me getting diabetes later in life is increased. Oh and did I know I was already overweight, which puts more pressure on the body and the insulin resistance that can develop...

Yes, I did know I was overweight. Yes I know the risks of gestational diabetes. Yes I got your brochures on breast feeding but figured until I had a baby to try it out with it probably wasn't worth reading. Can we move on now and focus on the miracle that I'm actually 28-weeks pregnant. No, let's talk about my mental health. How am I feeling? Well, now that I'm thinking about the fact that I'm overweight, and that even though I don't have gestational diabetes you've made me panic about my chance of still developing it and remembering the 6 babies I've lost over the past four years, I'm feeling a little sad actually. But 30 minutes ago, I felt great and yes I can cope with the house work, or cope if the house work doesn't get done. Believe me, I've got that down pat.

My first midwife experience and I didn't love it. Yay. So glad I have an awesome, non-panic instilling obstetrician that I get to see instead of seeing scary, kind-of-heartless midwife.

Our next obstetrician's appointment is just over a week away. At our last appointment our ob did the scan to check baby's measurements and mini matty is shaping up to be a big boy. His head measured on the 75th percentile, his femur measured 5cm, which was smack bang in the middle on the 50th percentile, but his abdomen measured on the 97th percentile! He averaged out as being on the 80th percentile and weighing an estimated 965 grams. Apparently all that is fine, if he is just growing to his genetic potential. The key is the measurements that will be taken at our next appointment and whether mini matty is still growing at the same rate. Growing too quickly, getting too big is the problem, and the key problem for gestational diabetes - that I don't have, but apparently I don't get to relax about that until these next measurements are done and (fingers crossed) mini matty measures on around the 80th percentile still.

The pre-admission phone call is a blip and I've been back to loving it again. Last night I did some research and decided what type of bouncer I'd like to get... imagine our own little person bouncing away...

1 comment:

  1. In the most PC language I can muster - I soooo want to bop that mid-wife on the head for you!!