41 Weeks

Accessories are vital to balance the belly! ;)

Well, I've done it again.  Our estimated due date has come and gone and I'm still gestating away over here.  Last pregnancy I went a full two weeks past our estimated due date (which apparently was wrong, based on Miriam's newborn assessment, she looked closer to 39 weeks than 42), and although I'm hoping not to do the same or further this time I'm getting pretty close.  Sunday will mark 42 weeks!

A few people have asked "How long will 'they' let you go?" or "When will you need to induce?"  Happily, in our case those kinds of decisions can be based solely on how baby and I are doing, not our due date or official policies.  In some states midwives' licensing requirements do not allow them to attend births past 42 weeks.  If that were the case I would be more concerned about going to 42 weeks, but thankfully we don't need to worry about that, only about how well mama and baby are doing.

Going by what last time looked like, I'm guessing that at 42 weeks we'll set up an appointment for an ultrasound, have some tests done, and evaluate any concerns that come up.  Last time we went into labor the day before setting up the appointment, so I am not entirely sure what all would be entailed if we did make it to that point.

So, barring any complications, I'll just continue daily life, and keep bouncing on the exercise ball, nursing the toddler, and drinking red raspberry leaf tea. (I may also eat pineapple in ridiculous quantities, take evening primrose capsules daily, start making spicy meals, scrub my floors on hands and knees, take daily long walks, and resign myself to being pregnant forever.)

I was reading this tonight, though, and feeling encouraged about the value of waiting for labor to start on it's own...

"In the last weeks of pregnancy, maternal antibodies are passed to the baby—antibodies that will help fight infections in the first days and weeks of life. The baby gains weight and strength, stores iron, and develops more coordinated sucking and swallowing abilities. His lungs mature, and he stores brown fat that will help him maintain body temperature in the first days and weeks following birth. The maturing baby and the aging placenta trigger a prostaglandin increase that softens the cervix in readiness for effacement and dilatation. A rise in estrogen and a decrease in progesterone increase the uterine sensitivity to oxytocin. The baby moves down into the pelvis. Contractions in the last weeks may start the effacement and dilation of the cervix. A burst of energy helps pregnant women make final preparations, and insomnia prepares them for the start of round-the-clock parenting.

The watchful waiting and the intense wanting of the big day to arrive are all part of nature's plan. When the baby, uterus, placenta, and hormones are ready, labor will start. Additionally, all that preparation sets the stage for an easier labor and a fully mature baby who is physiologically stable and able to breastfeed well right from the start." - from 'Saying “No” to Induction', by Judith A. Lothian

 

On the plus side, I've been finishing up some loose ends in the last few weeks... like this half completed maternity skirt that has been sitting in a box of projects, forgotten, for months.  Oops.  It was very simple to make once I sat down and did it... I took the waistband from a worn out pair of favorite maternity pants, then cut out a simple skirt and stitched them together and hemmed.  Very easy!  And pretty nice to have something "new" to wear at this point. ;) 

Also, I'm enjoying some lovely maternity photos that my awesome sister in law took.  That is a first this pregnancy and I'm so glad that it worked out to have them done!

I think this one is my favorite.  :) 

Now, I'd better get to bed.  Just in case I (hopefully!) go into labor in the middle of the night.

Our Crazy "Not a Birth" Story

Today is my "due date" so to celebrate I'm posting this story from a few weeks ago that I finally got written up.  Hopefully I'll have an actual birth story eventually... ;)

So, a week ago last Wednesday morning, Nathan woke up at midnight throwing up and Micah went to check on him while I got up to grab towels.  Only, I got up & had a big gush of water... Micah heard it from Nathan's bedside and said, "What was that?"  Half awake and in shock, I informed him my water had broken.  I think his response was something like, "Are you serious?!"  ;)  At 38 weeks, we had been assuming we had at the very least another week!


After our midwife came, we found that baby was transverse.  We weren't able to get a positive reading on the amnio swab at first, but we did end up getting a positive reading from the puddle, so with the risk of cord prolapse, and with water broken so that obviously baby couldn't turn, we transferred for a c-section. 


It took us a short while to coordinate child care, grab the infant carseat out of storage, and pack a few essentials (as I supervised from lying on the couch), then we were on the road for the hospital.  It felt totally surreal... up in the middle of the night, leaving my poor sick kiddo in the capable hands of his aunts, and suddenly having a totally different birth before us.  As we drove we talked about what we'd ask for as far as c-section preferences... I knew that I wanted double layer suturing, skin to skin in the OR (ideally, on my chest right away, if not, skin to skin with daddy), no immediate swaddling or avoidable mama baby separation.  It was all surreal to think about and talk about.

We're about the same distance from three different hospitals, and I assumed initially we'd transfer to one of the two bigger ones, but we ended up heading to the small town hospital instead. They have a ridiculously high c/s rate (usually that would be a red flag, but it was what we were transferring for!), are a small hospital (nurses and doctors more laid back and likely to go along with our requests) and they handle a lot of the local Mennonite's hospital births so they're a little more used to natural birth moms and how they think and what they'll prefer.  

Since our midwife knew many of the staff, she called ahead and let them know we were coming in, so we skipped the ER & went directly up to L&D.  The nurse we had was nice and was even sympathetic about us possibly winding up with a csection instead of our planned homebirth. She got us settled into our room, directed me to put on the hospital gown, then strapped me into bed on the monitors.  This was all completely new to me, since I'd only even been in a L&D ward once, when visiting friends who had just had a baby.  (And can I just say that bed was the least comfortable bed EVER?)


This is when we got our first inkling that we weren't going to have a c-section.  The nurse palpated and frowned thoughtfully and said it certainly felt like a head down baby to her.  We all gaped at her, because both our experienced midwife and Micah and I (who, while not exactly trained in the art of midwifery, are on our third baby and can tell the difference between a baby that is up and down and one who is sideways!) knew that baby had without a doubt been transverse before transporting.  The nurse got amnio strips to test for broken water, and both of them came up negative.  She suggested that I'd had a "fore-bag" break and that although we'd have to wait for the ultrasound and the doctor to see us, we could probably go home if we wanted to and if baby was head down.


The ultrasound tech wouldn't be there for a few hours, so we tried to relax and process everything.  Mostly I played Words With Friends on my phone and distracted myself.  Our main concern at that point was that baby would actually be breech and that they would not discharge us or allow a trial of labor.  I was hopeful, though that even with a breech baby if I did not appear to actually be in labor or have ruptured membranes that they would let us go home.


Finally, the ultrasound technician wheeled in her cart and we got our first peek at our third little one... head down just like we were hoping!  Chubby cheeks, tiny fingers and toes, and measurements matching right up with our dates!  Although we had an overall good experience at the hospital, that was really the bright spot of the whole thing.


We waited a while longer to see the doctor on call.  She agreed with the nurses guess about it merely being a fore-bag break, and said that they really didn't consider that my membranes were ruptured, so we shouldn't consider ourselves "on the clock" as far as labor went.  She was fantastic and basically told us to go home and have a nice birth!


Still reeling, we checked out and headed to Walmart to grab an exercise ball (if labor did start, I knew I'd want it, but even if not I wanted it for good baby positioning) and other necessities, like fudge cookies and a mocha protein shake.  Our midwife went to take a nap, since we'd kept her up most of the night, telling us to let her know if anything happened labor wise.  We headed home and cuddled sick toddlers.  It was all very anticlimactic!  We were relieved and in shock and going home with an empty carseat and right back to wondering if we'd have a baby in a day or a week or two.  I'm so glad that we didn't end up with a c-section, but it’s hard going from thinking you're going to have a baby in your arms that day to going back to patiently waiting again!

On the plus side, you wouldn't believe how much of the "to do before baby" list we got knocked out that day! ;)

"The Trouble With Repeat Cesareans"

Good article in Time magazine. This is an upsetting example of the way insurance policies and the fear of litigation are trumping the medical evidence and the best interests of mothers and babies.

Some quotes from the article-

"Much ado has been made recently of women who choose to have cesareans, but little attention has been paid to the vast number of moms who are forced to have them. More than 9 out of 10 births following a C-section are now surgical deliveries..."

"In a 2006 ACOG survey of 10,659 ob-gyns nationwide, 26% said they had given up on VBACs because insurance was unaffordable or unavailable; 33% said they had dropped VBACs out of fear of litigation."

"With each repeat cesarean, a mother's risk of heavy bleeding, infection and infertility, among other complications, goes up. Perhaps most alarming, repeat C-sections increase a woman's chances of developing life-threatening placental abnormalities that can cause hemorrhaging during childbirth."

"Don't you know what causes that?"

Good post over at Tandem Mommy Lifestyle.

"If the church doesn't see children as a blessing and a gift from God, why should we expect the world to?"

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Edited to add-

After writing and publishing this earlier today, I read a post from Lora Lynn over at Vita Familiae, in which she discusses a series of events in which she was asked this question.

It's hilarious, and you can (and should!) read it here.

Benefits of full term pregnancy...

"A study in the American Journal of Obstetrics and Gynecology in October calculated that for each week a baby stayed in the womb between 32 and 39 weeks, there is a 23% decrease in problems such as respiratory distress, jaundice, seizures, temperature instability and brain hemorrhages...
...What's more, experts warn that a fetus's estimated age may be off by as much as two weeks either way, meaning that a baby thought to be 36 weeks along might be only 34.
The American College of Obstetricians and Gynecologists, the American Academy of Pediatrics and the March of Dimes are now urging obstetricians not to deliver babies before 39 weeks unless there is a medical reason to do so."

Rest of the Wall Street Journal article here.

I would just add that a baby thought to be 39 weeks could be 37, just as the 36/34 example in the article. That would mean that when it was supposedly safe to schedule an induction/c-section, for example, you would be risking an over 40% significant increase in respiratory distress, jaundice, seizures, etc.

There is a reason to wait for the beginning of labor on its own, whether at 40 weeks, 41, or 42! Finally, medical research is catching up with common sense... ;-)

New studies on caffeine and alcohol intake during pregnancy...

'U.K. policymakers are shifting recommendations on consumption of low levels of alcohol and caffeine during pregnancy in reaction to two recent studies on the effects of the drugs, the Los Angeles Times reports. The studies -- which were the "largest and most rigorous" to date on low-level alcohol and caffeine consumption during pregnancy -- challenge the notion that alcohol should be avoided entirely during pregnancy and that light caffeine consumption has no effect on outcomes, according to the Times. The Times reports that the two studies suggest that "limited alcohol consumption is not so bad, while regular caffeine intake is worse than we thought."'

Whole article here.

Pregnancy Ticker

The countdown has begun

I've got a little pregnancy ticker on my iGoogle page now, and it tells me that I have 220 days until my due date. Of course, it would be normal to go a few weeks before or after that, so that's just an estimate or guess, but it is fun to count down even if it isn't a "set in stone" date.

220 days to figure out whether I want to move Nathan into a crib or toddler bed instead of the playpen next to our bed, and whether I want to turn our room into the nursery and the loft into our bedroom. The advantage to that would be that we would be between babies and the stairs.

220 days to complete three baby quilts. (Nathan's is almost done!) The other two, a boy and girl baby quilt, will hopefully get done this time before baby arrives!

220 days to wonder if we're having a boy or girl!

220 days to toss name ideas back and forth.

220 days to wait until we meet this little one face to face!

C-Sections Shown to Increase Risk of Type 1 Diabetes

"New research¹ reveals that mothers giving birth by Caesarean section have a 20 per cent higher risk of their baby developing Type 1 diabetes in childhood compared to those having natural births, warns leading health charity Diabetes UK.

The research examined 20 published studies on children with Type 1 diabetes born by Caesarean section and found that there was a 20 per cent increase in the risk of babies born by Caesarean section developing Type 1 diabetes. This could not be explained by other factors such as birth weight, the age of the mother, order of birth, gestational diabetes and whether the baby was breast-fed or not.

On average 24 per cent of pregnancies in England are delivered by Caesarean section, which is significantly higher that the World Health Organisation's recommended rate of 15 per cent.²"

From this article here.

The United States has a Caesarean rate of about 30 percent, according to this article.
This article from Childbirth Connection looks at the factors going into that, including care providers who put a low priority on supporting normal labors, side effects of common interventions, and a limited awareness of the risks.

Our New Look

A recent picture. :-)